Speed up your intake process by filling out your forms ahead of time. No log in required! If you have any trouble figuring out what form is the correct form for you to fill out we've broken them up into categories to help. Or give us a call and we can help you.
Download New Patient Intake Form
Having trouble filling out the forms online? Download and print off our new patient intake form. Bring it in with you when you come in for your appointment. Click the pdf button to download the file.
Please feel free to fill out your physical therapy intake forms ahead of time to help you maximize your time here with us. You may be asked to fill out additional assessment paper work that help the therapist evaluate your condition. Those forms can very depending upon what we are seeing you for. Please arrive early if you have additional assessments or prefer to fill out your intake forms in person.
New Physical Therapy Patient:
If you are a new patient to Altair Integrative Wellness here for physical therapy please fill out this form.
Physical Therapy Patient Sign In:
If you are an established patient for physical therapy sign in ahead of time or when you get here.
New Chiropractic Patient:
If you are a new chiropractic patient please fill out this form.
Daily Intake Forms (Established Chiropractic Patient):
If you are a pre-existing chiropractic patient please fill out this form.
Update Patient Information:
Please fill out this form if you've been asked to update your patient information.
This helps us keep our records up to date.
Chiropractic ReEvaluation Form:
If you are coming in for a re-evaluation with one of the chiropractors please fill out this form.
If you are here because of a workers compensation report please fill out this form.
Personal Injury or Auto Accident:
If you are here because of a Personal Injury or Auto Accident report please fill out this form.
New Medical Patient:
If you are coming in for any of our medical services and or you are a new medical patient here please fill out this form.
Established Medical Patient:
If you are a pre-existing medical patient here please fill out this form.
Female Gynecological Exam Form:
For female hormone therapy treatments and gynecological exams. Please fill out this form.
Male Testosterone Pellet Insertion Form:
For male hormone therapy treatments. Please fill out this form.
Nerve Patients Daily Form:
For our patients receiving nerve treatment through the nerve treatment program. Please fill out this form.
Neuro Patients Forms:
Neuro Pain Scale Form:
For our neuro patients we have two forms we ask you to fill out. These help us asses your progress.
Neuro Michigan Form:
New Massage Patient:
If this is your first time and you are here for just a massage, please fill out this form.
Daily Intake Forms:
If you are a pre-existing patient here and you are here for a massage please fill out this form.