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As a patient in our
office, you may choose to print the following forms and fill
them out prior to your appointment. Please be aware that there
may be additional paperwork to complete during your office visit.
Forms are available
in PDF format. Each link will open a new window. In order to
read the PDF files you will need Adobe's © Acrobat Reader. Click
on the button to get the reader.
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Patient
Health Questionnaire
- Patient Information, Injury Details, History
Please
choose the appropriate form(s) for your area(s) of complaint:
Back
Pain Index - For complaints to the back, hips, legs, and
feet
Neck
Pain Index - For complains to the head, neck, shoulders,
arms, and hands, as well as headaches.
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