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Patient Paperwork

New Patient Forms

We offer our patient forms online so they can be completed 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 forms from the list below that pertain to your visit, print them out and fill in the required information.
  • Bring them with you on your first appointment.

 

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New Patient Intake Form

Completion of this form helps us to understand your health history and the current state of your health. What questions, concerns or goals regarding your health and wellness can we help you with? Let us know — we’re here to help you!­

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The purpose of this document is to help you make that improvement.

I know how time starved you are as a parent of a child with special needs.

That’s why I have made this document brief and to the point.

The next five sections contain essential information I have learned as a healthcare provider over the course of my career as I have focused on improving the health and quality of life of children with neurodevelopmental challenges.

I consider this necessary information for all parents and health providers to know in order to help children experience their optimal health, function and quality of life.

Sincerely,

Dr. Ryan Weisgerber, D.C.


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