Patient Forms

Download and print these forms for your next appointment. First Appointment forms are only required upon your first visit with us. We look forward to seeing you!

Types of Appointments &
Associated Documents

INITIAL EXAM PAPERWORK

When checking in for you initial exam we will need both of the forms below filled out.

*First Appointment Only

FOLLOW UPS

When checking in you will need to fill out this form regarding your current treatment, to save time you can print and bring in at your scheduled follow up appointment.

*First Page Only

VISION THERAPY PROGRESS CHECK

When checking in you will need to fill out this form regarding your current treatment, to save time you can print and bring in at your scheduled follow up appointment.

*First Page Only

VISION SCREEN

Vision Screens are free! Please fill out the VSE Form

FOOTBATH

*First Appointment Only

STRUCTURAL ENERGETIC THERAPY (SET)

*First Appointment Only

SENSORY LEARNING PROGRAM (SLP)

Extra At-Home Logs, Questionnaires, and information.