Do you need to have your doctor send us your medical records? Start with Step 1!
NOTE: After you submit the form you will automatically be redirected to the Patient Intake Forms. You must complete the process with Steps 2 & 3 before we can request your medical records.
If you already have your proof of a qualifying condition, such as medical records, x-rays, prescription, then skip Step 1 and jump directly to Step 2!
Be sure to fill these forms out completely, initial and sign all required places.
Please note, we cannot accept incomplete forms.
After your Intake forms are submitted, you are redirected to our online scheduler.
Let us know if you have any issues. We are happy to help!
Next up is your appointment….
Remember, you must provide proof of your qualifying condition at time of appointment.
See you soon!
Not sure if you qualify? Complete the application below…
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