New Patient Forms
Save time at your next office visit by downloading our patient forms. You can simply fill them out at home, print them and bring them to your appointment. If you have your papers printed and fully filled out, please arrive at your appointment 30 minutes prior to your scheduled visit. This allows our staff time to scan and verify your information.
If you do not have access to a printer please arrive at your KureSmart Pain Management location 1hr prior to your appointment. You will be asked to fill out your medical forms prior to your visit. Patients will require a full hour to fill and file their 14 pages of new patient paperwork.
PHYSICAL THERAPY FORMS
If you are going to visit a Physical Therapy Office, please download the appropriate PT New Patient Registration Packet from the choices below. Please select the appropriate forms below that pertain to your pain.
You will only need to fill these forms out if you are seeing a physical therapist:
- All Patients Please Complete Physical Therapy Medical Questionnaire
- Patients with Lower Back Pain or Sciatica Pain
- Patients with Neck Pain, Headaches and Related Arm Pain
- Patients with Upper Extremity Pain or Diagnoses
- Patients with Lower Extremity Pain or Diagnoses