Back to Balance offers our patient form(s) online so you can complete it in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  •  Bring your completed form with you to your first appointment.

New Patient Health History Form 

This form let’s us know the history and current state of your health. 

Download & Print Form