WE CARE Documents

Title

Description

Updated

First time PT/Chiro patient intake forms (3 pages)

2/10/26

First time massage client release form

6/6/25

Permission to request patients medical records

6/6/25

Travel reimbursement forms for veterans traveling more than 30 miles for their appointment.

6/6/25

To be submitted with the travel reimbursement form

6/6/25

Request for Service form (RFS) to request additional service

6/6/25

Request for Service form (RFS) to request Durable Medical Equipment (DME)

6/6/25

Fax cover sheet for for sending HIPAA compliant patient records

6/6/25

We Care Wellness Center letterhead for custom needs

6/6/25

Request for Service form (RFS) to request Durable Medical Equipment (DME)

6/6/25

Title

Description

Updated

Modified Oswestry Index for lower back (OSWESTRY)

6/6/25

Neck disability index (NDI)

6/6/25

Lower extremity functional scale (LEFS)

6/6/25

Disabilities of the Arm, Shoulder and Hand (DASH)

6/6/25

Balance Scale

Berg Balance Scale (BBS) – objective fall risk test

6/6/25