Forms - Advanced Therapeutics Wellness
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Forms

BEFORE your Massage or Chiropractic appointment you must complete these forms. Thank you.

Covid-19 Patient Intake Form

COVID-19 – Appointment Pre-Screening Document (Click to download)
*MUST be completed within 24 hours of EACH treatment.

New Massage Patient Forms

Health-History-Form (Click to download)

Treatment Process Consent Form (Click to download)

New Chiropractic Patient Forms

OFFICE FEES  (Click to download)

PATIENT INFO (Click to download)

MEDICAL HISTORY(Click to download)

FUNCTIONAL RATING (Click to download)

INFORMED CONSENT(Click to download)

CHILD_INFANT INTAKE FORM(Click to download)