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New Patient Form
If you are a new patient, please fill out our intake form below and submit it. Once we have received your form, we will contact you to schedule your initial consultation and examination.
(Note: Please finish up to the last page and sign and click submit. Please don’t refresh the page as it will reset the entire form!)
Existing Patients
For existing patients, please give us a call or email us to schedule your appointment.

What to Bring
Any recent X-rays, MRIs, or other relevant scans
Payment method (we accept credit, debit, and cash)
Comfortable, loose-fitting clothing (Please avoid wearing dresses or tight-fitting pants)
Preparing for Your First Visit
To make your first visit as efficient as possible, please keep the following in mind:
What to Expect
1-hour initial exam and assessment
Includes spinal scans, physical exam, and full spine x-rays (if necessary)
Identifies the cause of pain or dysfunction