Forms - Advanced Therapeutics Wellness
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Forms

BEFORE your Massage, Acupuncture or Chiropractic appointment you must complete these forms. Thank you.

ALL Patients Covid-19 Intake Form

This form is now available online with your reminder email/text. If not completed prior to your appointment your therapist will screen you upon arrival.

NEW MASSAGE Patient Forms

Health-History-Form (Click to download)

Treatment Process Consent Form (Click to download)

NEW ACUPUNCTURE Patient Forms

Acupuncture Patient_Health_Summary (Click to download)

Consent_to_Collect_and_Release_Information (Click to download)

NEW CHIROPRACTIC Patient Forms

OFFICE FEES (Click to download)

PATIENT INFO (Click to download)

MEDICAL HISTORY(Click to download)

FUNCTIONAL RATING (Click to download)

INFORMED CONSENT(Click to download)

CHILD_INFANT INTAKE FORM(Click to download)