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Intake Paperwork

New Patient Intake Paperwork

Below are the documents we ask all first-time Reflex patients to fill out prior to their initial evaluation.  Feel free to download, print, and fill out these forms before coming into the clinic to save time.

 

Reflex Intake Documents

 

Financial Policy Agreement

 

Medical Document Release Form

 

Confidential Personal Information Form

 

HIPAA Consent Form

 

 

Call us to learn more about how Reflex can relieve your knee pain. Schedule your initial evaluation: (503) 719-6783