New Patient Forms
Download the forms below and fill out at your convenience before your visit OR come to your visit 15 minutes early to fill out.
New Patients please download and complete the following form:
If you are a New Patient and are coming to us after an accident, please also complete the following form:
Here are other documents that you may be interested in:
- Information about Vestibular Rehabilitation: What is Vestibular Rehabilitation?
- Return to school information: Return to School Guidelines
- Potential reactions to treatment: Potential Reactions
We accept in-network and out-of-network insurances. We also accept insurances not listed below. Please call to verify if your insurance is accepted.
ANTHEM BLUE CROSS BLUE SHIELD
CIGNA (EXCEPT CENTURA HEALTH)
FEDERAL BLUE CROSS BLUE SHIELD
MUTUAL OF OMAHA
ROCKY MOUNTAIN HEALTH PLANS
UNITED HEALTHCARE (EXCEPT CENTURA HEALTH)
ALL AUTO INSURANCE
All WORKERS COMP INSURANCE