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If you are dealing with a health issue and are curious about our services, but not sure how to proceed, please give us a call at (336) 294-0910. Our staff will be happy to answer your questions and give you some guidance on choosing appropriate services, exploring insurance benefits and address any other concerns you may have.

If you have already decided to come to Integrative Therapies, we are happy that you have chosen to partner with us on your path to wellness. Our team is committed to providing you with high quality professional services. To that end, it is helpful for us to know about your present health concerns and past medical history. Our intake forms vary somewhat depending on the type of condition you are dealing with and the services you are interested in.

It is important that you have your completed forms with you when you come for your first visit so that you will be able to enjoy the full benefit of your clinical hour with your health professional. We ask that you arrive 20 minutes before your first appointment so that we can address the administrative necessities prior to you meeting with your clinician. Again, this will help insure maximal usage of the time with your practitioner.

 

Initial intake forms are listed below:

   
Initial Intake Forms:
     
  Physical Therapy and Biofeedback
  Integrative and Regenerative Medicine
  Women's Health and Pelvic Floor Rehabilitation
  Acupuncture
  Counseling Services
  Nutrition Services
  QEEG Brain Mapping and Neurofeedback
     
    Initial forms for NES Bio-Energetic Assessment, Self-pay Bodywork, Massage, and other services are brief and can be filled out when you attend your first session. Please come to the office 10 minutes prior to your appointment so that you can receive the full benefit of your allotted session time.
     
   
Follow Up Forms:
     
  Physical Therapy Re-evaluation Form
     
  Integrative Pain Medicine Follow Up Form
     
   
Referral Form for Physicians & Other Healthcare Professionals:
     
  Fax Referral Form

 

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7E Oak Branch Drive    •    Greensboro, NC 27407    (336) 294-0910