Registration Forms

If you are unable to complete the registration forms through the patient portal, please complete these forms and email to info@brainbodybetter.com 48 hours prior to initial evaluations.

Email Registration Forms

Intake paperwork needed for first visit

Download

Intake form for speech therapy

Download

Activities Balance Confidence Scale
*If you are coming for physical or occupational therapy.

Download

Dizziness Handicap Inventory
*If you are coming for dizziness therapy.

Download

Voice Handicap Index
*If you are coming for speech therapy.

Download

Medical Information Release - If your medical notes need to be sent to a different medical provider

Download

Registration Forms

Intake paperwork needed for first visit

Intake form for speech therapy

Activities Balance Confidence Scale *If you are coming for physical or occupational therapy.

Dizziness Handicap Inventory *If you are coming for dizziness therapy.

Voice Handicap Index *If you are coming for speech therapy.

Medical Information Release - If your medical notes need to be sent to a different medical provider

Activities Balance Confidence Scale
*If you are coming for physical or occupational therapy.

Dizziness Handicap Inventory
*If you are coming for dizziness therapy.

Voice Handicap Index
*If you are coming for speech therapy.