"Therapists are very accommodating, sensitive
to your discomfort. I always leave with satisfaction and comfort that the treatments picked for me will be done with expertise"

 


Patient Forms 
Patient, Medicare, Workers Comp Forms, Privacy Policy, and Attorney Letter of Protection 

ALL PATIENTS:
Please print, complete, sign and bring these forms with you to your first appointment

 
Consent for Treatment Form

  Patient Information Form


  Privacy Practices  Every patient should read this (Not necessary to print out)


Medicare Patients Only


Medicare Injury Questionnaire

Workers Comp or Auto Cases

This is all of the information we need to process your bills.  
Please bring this information with you to your first appointment.

Workers Compensation Information Form

Auto Insurance Information Form       NH Auto Bulletin

Attorney Cases

We need to have a Letter of Protection signed by your Attorney

Attorney Information Form (Attorney Cases)