19531 Beach Blvd. Huntington Beach, CA 92648 714.960.7995
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New Patient Forms

Patient Forms

 

Please print and complete both forms and bring them to your first appointment.

New Patient Registration Form

Patient History Form

 

What to wear:

Knee patients should wear or bring shorts or loose fitting pants that we can gain access to seeing your knee. You may be moving and doing exercise so be comfortable.

Shoulder patients should wear or bring a loose fitting shirt or tank top style shirt.

Back and neck patients wear comfortable clothing that you can exercise in if need be.

What to bring:

  1. Physical Therapy prescription from your doctor.
  2. Any written MRI, scan, EMG test or surgical report pertaining to your injury.
  3. Your insurance card(s). if you would like us to submit your claims to your insurance on your behalf.