Online Forms and Downloads
We are providers for most insurance plans. Please contact us or refer to your insurance plan to find out if we are in your network.
Please complete the intake form as best you can. If you have questions or are uncertain about how to answer something, please feel free to ask us!
If you're bringing your child in for an appointment, please complete this form to provide us with some additional information.
If you have MEDICA or United Healthcare as your primary insurance, please fill out the "Patient Summary Form" and the "Keele Screening Tool" in addition to our new patient intake form. Depending on your condition, you will also need to fill out the appropriate index form.
If you have MEDICA or UHC, Please download and fill out this form in addition to the "Patient Summary" and our new patient intake form.
If you have MEDICA or UHC insurance and currently suffer from a neck condition, please download and complete this form.
If you have MEDICA or UHC insurance and currently suffer from a back condition, please download and complete this form.
If you have MEDICA or UHC insurance and currently suffer from a shoulder, elbow, or hand condition, please download and complete this form.
If you have MEDICA or UHC insurance and suffer from a knee, ankle, leg, or foot condition, please download and complete this form.