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New Patient Registration Forms

Please feel free to print and fill out our intake form prior to your first visit in order to speed up the intake process:

New Patient Registration (English)
New Patient Registration (Spanish)

You will also be asked to complete a health status questionnaire using an iPad® at admission, mid-treatment, and discharge. The data provided rates the patient's ability to do usual activities and allows us to monitor your progress and compare it to a database of thousands of other patients with similar conditions.

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