United Healthcare (UHC) patients: UHC requires the following forms to be completed and submitted. Please click on the Patient Summary Form below, complete Patient Sections and bring completed form to your first visit.

Patient Summary Form

Patient Summary Form (spanish)

Also,  please complete one of the following forms that relates to your injuries or condition and bring completed form to your first visit:

Arm, Shoulder, Hand

Lower Extremity

Back

Neck

Por favor, completa una de las siguientes formas que se relaciona con su condición. Traiga formulario completo a su primera visita:

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