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FOR CURRENT PATIENTS ONLY!

New patients must call to schedule an appointment. 


Existing patients please click here to book now


Thank you and we look forward to seeing you again. 


IMPT team 

IMPT New Client Form For your first visit

These are the forms for new patients to print and bring with them on their first visit. Please fill out all four pages, and feel free to write on the backside if you need more room. Please bring copies of any tests like MRI, X-rays, CT scans, surgical reports, etc.

IMPTAZ NEW CLIENT 2018 (pdf)

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IMPT SELF-PROGRESS NOTE (for current clients only)

These are forms for current patients to be updated annually or when there are any medical condition changes.

IMPTAZ SELF-PROGRESS NOTE (pdf)

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HIPPA PRIVACY/DISCLOSURE - PLEASE READ Before first visit

HIPAA PRIVACY/DISCLOSURE (pdf)

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