This is a quick, structured intake to help us route you correctly and prepare documentation.
Please avoid sharing detailed medical specifics. We’ll collect full clinical details safely at your visit.
Privacy note: Please do not type detailed medical history, imaging results, prescriptions, or accident play-by-play here.
We will take those details privately and safely during your visit.
What happens after you submit?
1
We confirm your routePI, work injury, or general care. We keep it organized from the start.
2
We schedule your visitBook right away, or we’ll contact you to finalize.
3
We coordinate documentationIf you have an attorney, we align communication (with your permission).
Want to skip waiting?
Book your appointment now, then submit the intake right after.