As we see patients for a variety of concerns, not all patients need to fill out the same forms. If you have any questions about which forms to fill out, please call the office at 260-338-1700.

Patients scheduled for back, neck, knee, shoulder, hip pain must fill out the New Patient Intake and HIPAA Consent Forms.

New Patient Intake

HIPAA Consent


IV Hydration Consent ¬†— (This form is only for individuals scheduled for IV Hydration Therapy)


Patients who are scheduled for Integrative/Functional Medicine appointments, click here to be taken to the appropriate page.