Important Patient Information

Payment is expected at the time of service. We will work with many insurance whenever possible. We accept most forms of payment including major credit cards. Package plans are available.

Appointment Scheduling 

Please call our toll free number to schedule your appointment: 954-473-8925.

Appointment Cancellations

Cancellations are requested 24 hours prior whenever possible. Please call 954-473-8925

Preparing For Your First Visit

Please print out the patient forms above and take your time filling them out. Be as descriptive and detailed as possible. If you are uncertain which forms apply to you, please call 954-473-8925 for clarification.

Treatment Expectations

If you have several health conditions, please list them in the order of importance. Please be realistic concerning treatment. It make take several treatment sessions to feel a change. Please create a treatment result diary to note daily changes in how you feel.

MultiCare Patient Forms

 Standard Case History Form

 History Form Injury/Accident

 Patient Information & Insurance Form

 FirstLine Therapy Health History Form

 FirstLine Therapy Follow-Up Form

 Massage Therapy History Form

 HIPAA Notice

 Metabolic Assessment Form

 Pain Drawing

 Detox & Drainage Questionnaire 

 Symptom Survey Form 

 Nutritional Assessment Questionnaire (NAQ) 

 Balancing Body Chemistry Form 

 Food Diary 

 

 Stress Level Profile

 Relaxation Profile

 Hemispheric Profile

 Dr. King Consent Form