Patient Intake Form.

Fill it in at home. Start treatment sooner.

Fill out the online form below, fill out our secure HIPAA form, or download the PDF, print it, and bring it filled in.

Ten quiet minutes at your kitchen table beats ten minutes on a clipboard in a waiting room. It also means your therapist has already read your history before you sit down, so the visit starts with your body instead of your paperwork.

What the form asks for.

Nothing surprising. Have these handy before you start:

• Your contact details and date of birth.
• Your insurance information.
• What brings you in, and how long it has been going on.
• Relevant medical history, including surgeries, conditions and current medications.
• An emergency contact.

If a question does not apply to you, leave it. If you are not sure, leave it and ask us on the day. A blank line is better than a guess in your chart.

What else to bring.

• Your photo ID and insurance card.
• Comfortable, loose clothing you can move in.
• Any x-rays, ultrasounds or doctor’s notes you already have.

Stuck on a question?

Call (972) 526-5693, Monday to Friday, 8:30am to 5:30pm, or email info@onpointmvp.com. Someone will walk you through it line by line if that is what it takes.

Once the form is done, request an appointment and we will verify your insurance benefits before your first visit.