Downloadable Packets for your convenience
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We've compiled all of the documents and paperwork you will need in one easy download. Our goal is to make your New Patient experience easy and convenient, and to eliminate the common hassles of checking into a new clinic.
You may need Adobe Acrobat Reader, here is a link for quick download of that application. |
MEDICARE PACKET
| medicare_packet.pdf |
MINOR PACKET
| minor_packet.pdf |
PRIVATE INSURANCE
| private_insurance_packet.pdf |
AUTO MED-PAY PACKET
| auto_med-pay_packet.pdf |
SELF (CASH) PAY PACKET
| self__cash__pay_packet.pdf |
WORKERS' COMPENSATION PACKET
| workers_compensation_packet.pdf |
SELF HISTORY FOR FREE SCREENINGS
| rocklin_pt_self_history_for_free_screenings.pdf |
INTAKE FORM - Arm & Hand
| intake_form_-_arm_hand.pdf |
INTAKE FORM - Cranium, Mandible, Thoracic Spine, Ribs
| intake_form_-_cranium_mandible_thoracic_spine_ribs.pdf |
INTAKE FORM - Foot, Ankle & Lower Leg (without Knee)
| intake_form_-_foot_ankle_lower_leg_without_knee.pdf |
INTAKE FORM - Hip, Pelvis & Upper Leg
| intake_form_-_hip_pelvis_upper_leg.pdf |
INTAKE FORM - Knee
| intake_form_-_knee.pdf |
INTAKE FORM - Neck
| intake_form_-_neck.pdf |
INTAKE FORM - Lumbar Spine
| intake_form_-_lumbar_spine.pdf |
INTAKE FORM - Shoulder
| intake_form_-_shoulder.pdf |
