New Patient Forms
You can save about 20 minutes on your first appointment by printing and completing the New Patient general intake form before your visit.
WSHHC General Intake Form (Click to download)
In addition, please print and complete any of the forms below that may be applicable to you.
| If your primary complaint is | please complete this form |
|---|---|
| Low Back Pain | Low Back Questionnaire |
| Neck Pain | VernonMior Neck Pain Index |
| Headache | Headache Index |
| Shoulder or Arm pain | Dash Form |
| Leg pain | Lower Extremity Functional Scale |
| Digestive or General Systemic Issues | Symptom Survey Form |
