Patient Forms


Please print out the following required forms, complete and sign them, and bring with you to your visit with Dr. Joe:

New Patient Intake Form - Required
- Print out and complete this form prior to coming in for your first visit. (May not Display properly in Firefox browser. Please use Chrome or Internet Explorer.)

Notice of Patient Privacy Policy - Required 
- Notice of Patient Privacy Policy

New Patient Posture Stability Form - Required - for Laser Foot Scan (no charge to new patients)
- New Patient Posture Stability Form

Patient Fee Schedule  - Optional for your convenience
If you plan to submit my Patient Statements to your insurance carrier for reimbursement, please plan to do so on your own; it is recommended that you call your carrier and discuss the fee schedule codes prior to receiving treatment.