Intake forms help give me information about your health history, aches and pains you are experiencing, as well as what you expect from me.

Upon your first visit, arrive 10 minutes early to allow for necessary paperwork or you can print out the forms below and fill out paperwork to bring with you to your appointment.

Click here to print New Client Intake Form

 Click here for Minor Liability Release 

Click here for General Liability Release

Click here for Intended Outcome Form

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© 2020 by RTC Pain Therapy llc.

1059 E Broadway Road Mesa AZ 85204