If you wish to complete your initial paperwork prior to arriving for your first appointment, please call our office and we can provide you with a link to electronically complete and send your paperwork to our office. No need to sit in the waiting room and fill out forms, now you can fill them out in the comfort of your home and on your time. If you do not wish to file your paperwork electronically please feel free to download the following forms and bring them to your scheduled appointment.
New Intake Form
If you are new patient, please complete this form.
Notice of Privacy Practices
This is a written notice of all privacy practices that are used in our office, as required by the Health Insurance Portability and Privacy Act of 1996.
Revised Oswestry Disability Index
Please complete this form if you are consulting Dr. Buncke for lower back pain, an auto accident, or a workers’ compensation injury.
Neck Disability Index
Please complete this form if you are consulting Dr. Buncke for a neck injury.