All new patients (Except DOT) will need to fill out a Welcome Packet. If you need a CDL/DOT Physical, you will need to fill out JUST the DOT History Form. If you have insulin-dependent diabetes and need a DOT card, fill out and bring the IDDM FORM with you.
If you are a Worker’s Compensation patient, You will need to fill out Welcome Packet as well as an 827 Form.
Please download and fill out what you can, then email back to us at: firstname.lastname@example.org
DOT Physical – HISTORY FORM
Work Comp 827 FORM (MS Word)
Note: If you are unable to fill your form(s) out and email it to us, please come to your appointment at least 30 minutes early.