This is the paper work we will ask you to fill out when you arrive for your first visit. Below are three forms. You may wish to print them and fill them out beforehand. If you do, please fill in your NAME and SSN on any form that you fill out.
Form #1 (Everyone) Informed Consent. Please read the top portion and complete the bottom portion (email consent) if you agree. Email is used as a venue to send you information to expedite your care.
Form #2 (Roland Morris) If you have pain in your lower back or lower extremities (legs, feet, etc…) please fill out the front and back of this form.
Roland Morris Form
Form #3 (Neck form) If you have pain in your neck, upper back, or upper extremities (arms, hands, etc…) please fill out the front and back of this form
Planning Your Visit