Forms & Feedback

We look forward to seeing you on your first visit. In order to save time  we encourage you to print and fill out the following 3 forms to bring to your first visit.

  1. Health History Form
  2. Hippa Privacy Act form
  3. Policy regarding insurance

 

Also, please print and fill out the appropriate specialty form/s below.

  1. neck index
  2. back index
  3. Hip/leg/foot index
  4. Shoulder/Arm/hand index

 

we value your feedback

 

    I give permission for Manual Therapy Associates to use this information as a direct quote in any and all forms. I understand that my name, contact information, or any other identifying information will NOT be published in order to protect my privacy.

Without fail, there are many aspects you have to think about your heartiness. You can order drugs from the comfort of your office. Let’s talk about sundry medications you can buy from Internet. For example Amoxil is used to treat bacterial infections, such as several dental abscesses. Antibiotics does not work for colds and some other illnesses. Certainly most pops is Cialis. Many families ask about how to order cialis online safely. What about sexual problems and order generic cialis online? Like many other medicaments, Cialis is usually classified according of it’s main ingredient. Men with sexual dysfunctions need occupational help. Several treatments will include some therapy. Sometimes, diseases can affect the blood flow that can slow the flow of blood, cause erectile malfunction. There are other drugs to treat diseases like this. Some medicinal conditions or other remedies may interact with Cialis. Get medical help if you have any kind of an allergic reaction to this preparation. Talk to your doctor to see if it’s secure to make the switch.

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