Patient Forms

Patient Forms for First Visit


We know that paperwork can be tedious and frustrating. As a licensed medical practice, we are required by law to provide patients with certain documents. At Foothills, we take every attempt to ensure that the process is as clear and easy as possible.

To minimize any delay initiating your first visit with us, we’ve provided your intake paperwork here. Below are the necessary documents needing completion prior to your first appointment. Please complete and bring these with you, remembering to arrive for your initial evaluation at least 20 minutes early, as you may also need to complete additional medical questionnaires that are specific to your condition. Also, we’ve partnered with FOTO (Focus on Therapeutic Outcomes) in order to measure our effectiveness and outcomes. This process requires some additional data input (in paper form or via tablet) at your first visit and during re-evaluations so that we can measure the effectiveness of our interventions.

Thank you for your patience as you begin your recovery with us. We look forward to seeing you.

Formularios Para Pacientes Nuevos: