©2018 BY AXION NEUROTHERAPY, INC., ALL RIGHTS RESERVED.

PATIENT FORMS

WELCOME TO THE PRACTICE!

Let's Get Started!

To save you time and hassle, we're giving you access our New Patient paperwork here.

Simply click to download the forms and complete them at your leisure.

(Make sure to bring them to your first appointment!)

Thanks for choosing us! Learn how the Center runs so that you can get the most out of our time together.

We care for your safety! These forms enable you to protect your privacy while giving us permission to care for you.

Payment made easy!  We simply ask that you provide charge authorization at the time of your appointment.

Keeping Legal!  We can care for you if you have Medicare/Medicaid, but we are not able to accept Federal funds as payment.