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Intake Forms

Intake Forms at Health In FocusAt Health In Focus, we offer our paperwork online so you can complete it in the convenience of your own home. Please help us make your visit as efficient as possible by filling out these forms prior to your visit.

Intake Forms

Adult Intake Form (Age 18+)

Pediatric Patient Intake Form (age 0-3)

Pediatric Patient Intake Form (age 4-17)

Auto Accident/Personal Injury Intake Form

Update & Progress Exam Forms

Existing Patient Update Exam Form

Existing Patient Progress Exam 1 Form

Auto Accident/Personal Injury Progress Exam 1 Form

Auto Accident/Personal Injury Progress Exam 2 Form

 Existing Patient Re-Exam Form

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New Patient Paperwork at Health In Focus | (802) 985-9500