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Home 9 Patient Center 9 Patient Registration

Patient Registration

Thank you for choosing Pain & Movement Solutions.

We look forward to helping you find SOLUTIONS to your pain & movement problems. When you arrive for your first visit, please bring with you:

  • Photo identification
  • Health insurance card
  • Completed registration forms

If you have difficulty with the forms, we would be happy to assist you prior to your appointment.  You may click the links below to download these forms.

Patient History Form

Please print off our patient history form.  Fill in the requested information and bring it with you to your initial evaluation.

Medical Records Release

To obtain a copy of your patient records from us, please print out the release form, fill it out and return it to us directly or via mail, fax or e-mail.

HIPAA / Privacy Policy

You may view and/or download a copy of our Patient Privacy Policy by clicking the button below.