Patient Forms

Paperwork should not eat your appointment

Your first visit is an evaluation, and we would rather spend that hour on you than on a clipboard. Anything we can handle in advance, we will.

When you book, we will tell you exactly which forms apply to you and send them over so you can complete them at home. If it is easier to fill them out here, come a few minutes early and we will help.

What to bring

• Photo ID.
• Your insurance card, if you have one.
• A list of your current medications, including anything you take for pain.
• Any records that might help. X-rays, ultrasounds, MRI reports, surgical notes, or notes from your doctor.
• Comfortable clothing you can move in. Loose enough that nothing restricts circulation.

Bring what you have. Missing something is not a reason to delay your start, and we will work with whatever you walk in with.

Insurance and benefits

Coverage depends on your plan, and you should not have to interpret it yourself. Give us your insurance information when you book and we will check your benefits for you, then tell you what we find before your first visit.

Additional forms

Two documents live on their own page, because not everyone needs them. Those are the trigger point dry needling consent form and the Medicare Advance Beneficiary Notice of Noncoverage.

See the additional forms, or call (319) 382-2743 if you are not sure which ones apply to you.