Below you will find a list of forms that will need to be completed prior to your first visit. We encourage you to fill these forms out and submit them online to save time. You will be redirected to PDFfiller.com to complete each form. Please return to this webpage after completing each form in order to access the next relevant form.
If you would rather complete these forms by hand please print each relevant PDF and bring with you at your appointment time.
If you are unable to submit the forms online or fill them out prior to your first visit, please plan to arrive 20-30 minutes early for your appointment to allow time for completion.
Must be completed by ALL patients
General Medical History
Must be completed by ALL patients EXCEPT those only being seen for Better Bone Clinic.
Spine History
Complete if you are being seen for back and neck problems
Orthopedic History
Complete if you are being seen for any other orthopedic problem
Vestibular History
Complete if you are being seen for balance and dizziness
Neurological History
Complete if you are being seen for MS, Parkinson’s Disease, Occupational Therapy (OT),
or other neurological disorders
Better Bone
Clinic History
(General Medical History included)
Must be completed by all
women 50 and older
and all men 70 and older.
Also, please be sure to bring the following documents and information: Driver’s license and insurance card(s).
All related MRIs, x-rays, CTs, Bone Density scans (DXA) and their respective written reports. Bring images on disc from radiology imaging facility.
If you have any questions regarding the retrieval of this information, please call our office: 706-546-1333.