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Registration Forms

If you are unable to complete the registration forms through the patient portal, please complete these forms and email to info@brainbodybetter.com 48 hours prior to initial evaluations.

Intake Forms 2025

Required for all new patients

Activities Balance Confidence Scale

Required for physical or occupational therapy.

Dizziness Handicap Inventory

Required for patients experiencing dizziness.

Voice Handicap Index

Required for patients coming for voice therapy.

Medical Information/ HIPAA Release

Required for records to be release to a different provide than your referring provider
Required for family members, spouses, etc to access your records

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