Online Patient Intake Form

PRIVACY STATEMENT
Please note that no personal information from this form will be stored on our website database. All information is securely directed and saved in our clinic’s Electronic Medical Record (EMR) system where all data is encrypted. The patient information will only be used by the clinic and will not be passed on to any third party.

Click here for Notice Of Privacy Practices

Claire
I just wanted you (Crystal) and Jennifer to know.....I am playing golf twice a week, mowing my yard and doing everything I did 5 years ago, albeit carefully. Doctors did nothing for me.  It was not until I came to you and Jennifer that I got better. I recommend you to everyone. I may even have a friend coming from New Orleans.  She needs hand therapy. Many simply cannot believe the change in my physical health. I can sit in any chair, stand, exercise, walk any distance with NO PAIN.  No hip or back pain, no nerve stabbing either. I just wanted you to know how much I appreciate your training and professional  work with such a “hands-on” approach.  I am a changed person both physically and mentally. If I ever get a problem, I will come to you first! Thanks again, Claire

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Kim
I now know how to smartly work my way back to normal activity, and I had a therapist that knew exactly what was going on with my body!
7349

Linda
My back feels much better! Motion is much better. Not as stiff!
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