New Patient Paperwork
As a new patient, you are asked to complete several essential questionnaires. This information will help your therapist in providing you the best care possible based upon your unique needs. These forms are available here for download in Adobe Acrobat format (PDF).
Important — Download, Print, and Complete Patient Forms Before Your Appointment.
Step 1: Download the form below
Step 2: Print and complete the form
Step 3: Bring the completed form with you to your appointment
By offering you this opportunity in advance, you will save time on your first visit allowing the therapist more time to focus on improving your physical condition.
You may download Adobe Acrobat Reader here: https://get.adobe.com/reader/
Health Plans
Many plans not included. Please contact our office if your insurance company is not listed.
- Providence
- Regence Blue Cross / Blue Shield
- Cigna
- Aetna
- Humana
- Tricare
- Optum
- SAIF
- Medicare
- FirstChoice Healthcare
- MODA
- Majoris
- Pacific Source
- Yamhill Community Care Organization
