Important Forms for Patients

BackFit Health + Spine understands how valuable your time is; as a result, we offer our patient form(s) online so they can be completed in the convenience of your own home or office.

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    Make sure you have adobe reader

    Adobe Reader is required to view online forms. If you do not already have AdobeReader® installed on your computer. Click Here to download.

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    Download forms

    Download the necessary form(s), print and fill in the required information.

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    Give us your filled out forms

    Fax us your printed and completed form(s) or bring them to your appointment.

Patient form

This tells us the history and current state of your health. The information completed on these forms will help the Doctor properly assess, diagnose and treat your current condition.

Nueva Forma de Historia de Salud Paciente

Requerido para todos los nuevos pacientes. Este nos deja saber la historia y el estado corriente de su salud. La información completada en estas formas asistirá al Doctor a tasar correctamente, diagnosticar y tratar su condición corriente.

Auto Injury intake form (only for auto injury)

This form is required if you were in a motor vehicle accident. Please complete the above Patient History Form as well.

La Forma de Consumo de Herida Automática

Requerido si su visita a nuestra oficina fuera a consecuencia de una herida automática.

Se requiere este formulario si usted ha estado en un accidente de auto. por favor complete nueva forma paciente anterior también.

Massage intake forms

Formas De Massage

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