Patient Forms
Thank you for choosing NIH. We appreciate your trust in us and look forward to working together to help you reach your goals.
For your convenience, you may choose to review our policies and complete your paperwork at home. Click on the 5 New Patient Information Forms listed below to print the PDF forms. Once printed, please fill out the forms at home and bring them with you to your first appointment. Since your therapist may want some additional information, please come to your first appointment 10 minutes early.
If you are seeing one of our therapists for therapy, an evaluation, or testing, several forms must be completed before we can begin to discuss your concerns. Having these forms filled out in advance allows us to use our time together most productively.
If you are meeting with a clinician for visits specifically related to a surgical procedure, please arrive at the office 15 minutes early to complete a few brief forms.
If you choose not to print and complete these forms in advance of your appointment date, they will be available for you at the time of your appointment.
Your Adobe print button will enable you to print all of the forms. If you have trouble viewing the forms, click here to download a free copy of Adobe Reader.
| New Clients |
New Patient Information Forms
1. Patient Information and Assessment Packet 2. Demographic Form and Assignment of Benefit Authorization 3. Notice of Privacy Practices 4. Office and Financial Policy 5. Authorization For Release of Information |