Dr. Rae now at Empower Health!
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Adult Health Intake Forms


1st Visit:


** The Pain & Movement Questionnaire is only required if you are experiencing pain, discomfort or difficulty moving (note: regardless of whether this is your main reason for seeking help)
Policies & Consent for Treatment
Adult Health Intake Form
Diet, Lifestyle & Symptom Questionnaire
Pain & Movement Questionnaire

Subsequent Visits:


These forms may be required on subsequent visits
Follow-up Pain & Movement Questionnaire

Children & Infant Forms

1st Visit:
Coming soon!
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