Integrated Manual Movement Therapy for Pain Management, Rehabilitation and Improved Sports Performance in Bellevue, WA. Call:  206-946-2040

Pre-visit Form

Pre-Visit Form

For your convenience we have a “GREEN” way you can fill out the new client health history form. It is fast, easy, secure and encrypted and works from all devices

Below is the pre-visit health history form, just fill out with as much that applies to you 24 hours prior to your schedule visit and press the submit button. We will receive it right away and review it prior to your scheduled appointment.

If you do not have a devices, do not understand how or having trouble with it;  we have an Ipad you can use at the office and or we can help you with it.

New Client Health History Form

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