NEW PATIENT FORMS
Prior to you first visit please read the following information regarding HIPAA and ACPT’s financial policy. You will be asked for a signature indicating that you have read and accept these policies prior to your visit.
Intake Forms for all New Patients
Forms related to injury or pain location
If you will be seen for a condition effecting one of these body regions please fill out the corresponding form.
Neck (Cervical Spine) or Headache
Middle and Low Back (Thoracic Spine, Lumbar spine)
Shoulder, Elbow, Wrist or Hand
Hip, Knee, Ankle, or Foot
Please be aware that some insurance companies require extra paperwork which is specific to certain policies. If you have one of these policies you will be asked to fill out 1-2 more forms prior to your first visit.