New Patient Forms

Please print and fill out the 2 forms below, and then kindly bring them in with you for your appointment.

If for some reason you are unable to print and fill them out before your appointment, you will need to arrive at your appointment to fill them out 30 minutes prior to your appointment.

Patient Intake Form

Consent Form

For Progress Evaluation Appointments, please print and fill out the form below and bring it with you to your appointment.

Progress Evaluation Form

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• Dr. Michele is the first person I call when I am out of sorts, or feeling off, whether physically, emotionally, or whatever.

  Sue S

• [I am] much more accepting of people and all their issues.

  Jean N

• I am happier because I feel better.

  Karen P

• My family and friends have noticed the difference in my posture and my outlook.  Non-believers have become believers!

  Judy B

• One golf partner stunned by how much better I walk and PLAY.

  Frances H