Online Forms

True Wellness Centers & Spas offers our patient form(s) online so you can complete it in the convenience of your own home or office.

• If you do not already have AdobeReader® installed on your computer, Click Here to download.
• Download the necessary form(s), print it out and fill in the required information.
• Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Forms

New Patient Intake - REQUIRED

HIPPA Form - REQUIRED 

We have the first 4 pages available in our office if you wish to read about HIPPA policies.

Insurance Release Form - REQUIRED

Neck Disability Index Questionnaire - REQUIRED

Oswestry Low Back Pain - REQUIRED

Motor Vehicle Accidents/Workers Compensation 

* If you were in an automobile accident or injured at work - please print and fill out these additional forms below:

Auto Accident Form

MVA Letter of Protection

MVA PIP Explanation

Workers Comp Form

Children

New Patient Forms - REQUIRED for child(ren) under the age of 18 years old

• Child NP Intake
• Parental Consent Form

GRASTON New Patients - treatment performed by Dr. Audrey Myers

• GRASTON FORMS

Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form


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