WELCOME TO RESULTS NECK & BACK THERAPY

Please bring your photo ID, insurance card, and completed forms to your initial visit. ALL new patients will need to complete the 3 forms listed below under “New Patient Packet.” If we are seeing you for lower back pain, you will also need to complete the Oswestry Low Back Disability Index. If we are seeing you for neck pain, you will need to complete the Neck Disability Index, in addition to the “New Patient Packet.”

PATIENT FORMS

Please download, print and complete these forms before coming in to our office for your initial visit. If you prefer, you may arrive 15 minutes before your scheduled appointment time and complete the forms in the office. If you have any questions about which forms to complete, please feel free to contact us via email or by phone at (541) 797-6316.

NEW PATIENT PACKET

Low Back Questionnaire

Neck Questionnaire

Don't Be Shy

Drop us a line anytime and someone from our staff will respond as soon as possible