Patient Forms
Download and complete the necessary forms before your appointment. Please bring completed forms with you or arrive 10-15 minutes early to complete them at our office.
Required Forms
Non-Discrimination Form
Required non-discrimination notice form
Financial
Good Faith Estimate (GFE)
Estimate of charges for services
Service Waivers
Infrared Sauna Release Waiver
Release and waiver for infrared sauna therapy
Intake Forms
Metabolic Assessment Form
Comprehensive metabolic assessment questionnaire
Medicare New Patient Intake
Initial intake form for Medicare patients
Auto Accident New Patient Intake
Initial intake form for auto accident patients
Self-Pay New Patient Intake
Initial intake form for self-pay patients
Form Instructions
Before Your First Visit
We recommend downloading and completing the appropriate intake form for your situation (Medicare, Auto Accident, or Self-Pay) before your appointment. This helps us serve you more efficiently and ensures we have all necessary information.
How to Submit Forms
You can submit completed forms in three ways:
- Bring printed forms to your appointment
- Email completed forms to us before your visit
- Arrive 10-15 minutes early to complete forms at our office
Questions?
If you have questions about any of our forms, please don't hesitate to contact us at (941) 487-0266 or visit us at either of our locations in Sarasota or Lakewood Ranch.