Client Forms
May 18, 2009 by Dr Dane
Filed under Client Forms
Most of us don’t care to fill out “yet another form.” I know – I don’t like them either. But there are some great benefits to completing my forms:
- It saves us time, and saves you money. The information given allows me to see a “bigger picture” of your health, and still focus on your chief concerns.
- It aids our detective work and allows me to address your main concerns more effectively. We often find clues as to why those symptoms are there in the first place, so we can address the underlying causes.
- This information often helps us spot potential problems before they become apparent. An “ounce of prevention” is “worth it’s weight in gold” (which is about $1200 an ounce these days)!
Initial forms for new clients can be downloaded and printed with the links below. Once you’re looking at the form (a PDF file), click on the little “floppy disk” icon just above the upper left corner of the page. Then, from the window that appears, choose the location on your computer that you would like to save it to.
If you aren’t able to download or print with the computer you’re using, you can come early to your appointment and fill them out then
For Most New Clients – please print & fill out both of these forms:
New Client Information
Chief Concern
For Most Free 20-min Evaluations, or Clients who intend only one or two visits – please print & fill out this short form: New Client Information – Short Form
To investigate your insurance coverage – print this worksheet and call your insurance company: Insurance Coverage Worksheet


