Here at Neck and Back Pain Relief Center, we value our patients. We acknowledge that going to a new place for the first time can be nerve racking. We want to do everything we can to eliminate any unnecessary stressors, which is why we include the option of printing and completing your forms at home. We think of our patients as part of our extended family, and we are excited to meet you!
If you have any questions regarding your first visit, please don’t hesitate to call us at (860) 620-9523.
New Patient Health History Form
This let's us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!