New Patient Forms — Wingard Wellness & Therapy Services

PLEASE PRINT AND COMPLETE THE FOLLOWING FORMS PRIOR TO YOUR FIRST APPOINTMENT:

Patient Intake Form

Consent to Physical Therapy Evaluation and Treatment

Patient Intake History Form

Functional Dry Needling Patient Flyer

Functional Dry Needling Consent Form*

HIPAA Compliance Patient Consent Form

*Only complete the FDN consent form if you are receiving dry needling treatment. All signed forms will be collected at the start of your first visit.