Please choose the form that applies to your visit. If you’re unsure which form to complete, feel free to call our office.
- New Patient Intake Form
- Consent to Treat Minor Patient without Parent Present
- Quick Dash
- Back Index
- Neck Index
- Lower Extremity Functional Scale (LEFS)
- Re-examination Form
- Auto Injury / Work Comp Payment Agreement
- Notice of Privacy Practices
Kentucky HIPAA Medical Release Form — Download & Print