Forms

New Patients: select the WCRA New Patient Form to fill out online prior to your visit. You may also fill out the New Patient Form in-person once you arrive at the office. If you have any questions, please call us at (724) 216-5004.

Select a Form

Please choose the form you need to complete

1. Confidential Client Questionnaire

2. Health Appraisal Questionnaire

3. WCRA DOT Form

4. WCRA New Patient Form

Patient Intake Form