FORMS

Save Time by Completing Your New Patient Form at Home

Just click the link below and you can download and print out your new patient information form. Save time by completing it at home and then bring it with you on your first visit.

Choose Your Form Below

New Patient Form

for patients being treated for conditions NOT related to auto or workplace injuries

Download Intake Form for New Patients (PDF)

New Patient Form for Automobile

for patients being treated for automobile injuries

Download Intake Form for Automobile Injury (PDF)

New Patient Form for Worker’s Comp

for patients being treated for workplace injuries

Download Intake Form for Worker’s Comp Injuries (PDF)

If you do not have Adobe Acrobat Reader on your computer, you may use the link below to download it for free.

Click Here to get Adobe Acrobat Reader

I tried Tri County Pain management after PT and Chiro separately. They greet you by name and provide a mix to help you. Chiro, decompression, massage, and muscle stimulation. They care about you and your health...and work to provide you pain relief -- Dana M.

I go to Tri County about once a week and look forward to my visits as they help provide relief that I have never received from other offices. I have a work related injury and am very pleased to have found the level of care that I receive at Tri County. -- Julie

They have a great staff. Always super nice and willing to make sure everything is 5 stars service. The Drs. On staff always seem to know just what to do so they can make your recovery process and pain free and speedy as possible -- Manny S.