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The Phoenix family of companies is committed to providing the best patient experience even before you walk through the doors for your first appointment. Please print and complete the new patient forms prior to your first visit. This will allow you to quickly get started with your program and be on the road to recovery. If you cannot print and complete the forms before your first visit, please arrive 15 minutes before your scheduled appointment to complete the necessary information.

New Patient Registration Packet

Download Form


Consent for Treatment and Financial Policy

Download Form


HIPAA Privacy Notice Form

Download Form


Patient Bill of Rights

Download Form


Non-Discrimination Notice

Download Form


Chiropractic Supplement Waiver

Download Form


Medicare Secondary Payer Questionnaire

Download Form


Patient Medical Healthcare Questionnaire

Download Form


Patient Intake Packet

Download Form


Medicare New Patient Registration Packet

Download Form


Financial Policy and Consent (Spanish)

Download Form


Medicare New Patient Telehealth registration

Download Form


New Patient Telehealth Registration Packet

Download Form


The best place to receive your therapy! Caring and knowledgeable staff. Very comfortable atmosphere.

 

Testimonials