Intake Forms

Creative Therapeutics would like to make your visit as pleasant as possible. Please download the PDF files below, print and fill them out, and bring them with you to your next appointment.

  • New Patient Information Form
    ALL new patients must fill this out. Additionally, you will fill out one of the two forms below, depending on your diagnosis.
  • Pelvic Floor Patient Health History Form
    Please fill this out only if you are being treated for issues concerning the pelvic floor. If you are not being treated for pelvic floor issues, please print and fill out the Health History Form below.
  • Health History Form
    Please fill this form out if you are being treated for any condition other than pelvic floor issues.

You have the right to choose where you go for treatment, and to tell your doctor or insurance company where you would like to receive treatment.

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The documents above are Adobe PDF files, requiring the Adobe Acrobat Reader. If you do not have Acrobat Reader, you can download a FREE application here.

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