Please take a moment to fill out our online intake form before your visit. All information is kept completely confidential.
Event Consent Form:
I authorize the clinic and its associated health professionals to collect my personal and medical information as documented above.
In addition, I authorize the clinic and its associated health professionals to communicate with my family doctor and/or referring doctor as deemed necessary for my beneficial treatment. I also understand that my personal and medical information is confidential and will only be disclosed to third parties with my permission.
I affirm that the therapist has my consent to treat by whatever reasonable means deemed necessary and provide an exercise plan utilizing their expertise and education
In addition, I authorize the clinic and its associated health professionals to communicate with my family doctor and/or referring doctor as deemed necessary for my beneficial treatment. I also understand that my personal and medical information is confidential and will only be disclosed to third parties with my permission.
I affirm that the therapist has my consent to treat by whatever reasonable means deemed necessary and provide an exercise plan utilizing their expertise and education