[et_pb_section bb_built=”1″ admin_label=”section” fullwidth=”on” specialty=”off” background_color=”#547aa5″ inner_shadow=”on” parallax=”off” transparent_background=”off” allow_player_pause=”off” parallax_method=”off” make_fullwidth=”off” use_custom_width=”off” width_unit=”on” make_equal=”off” use_custom_gutter=”off”][et_pb_fullwidth_header admin_label=”Fullwidth Header” title=”Patient Forms” background_layout=”dark” text_orientation=”left” header_fullscreen=”off” header_scroll_down=”off” parallax=”off” parallax_method=”off” content_orientation=”center” image_orientation=”center” custom_button_one=”off” button_one_letter_spacing=”0″ button_one_use_icon=”default” button_one_icon_placement=”right” button_one_on_hover=”on” button_one_letter_spacing_hover=”0″ custom_button_two=”off” button_two_letter_spacing=”0″ button_two_use_icon=”default” button_two_icon_placement=”right” button_two_on_hover=”on” button_two_letter_spacing_hover=”0″] [\/et_pb_fullwidth_header][\/et_pb_section][et_pb_section bb_built=”1″ admin_label=”section” fullwidth=”off” specialty=”off”][et_pb_row admin_label=”row”][et_pb_column type=”4_4″][et_pb_text admin_label=”Text” background_layout=”light” text_orientation=”left” use_border_color=”off” border_color=”#ffffff” border_style=”solid”]<\/p>\n
Please fill out the necessary forms prior to your appointment. This will help you get in and out of the office faster. If you have any questions about which forms to fill out or how to fill them out you can always give us a call.<\/p>\n
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[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=”row”][et_pb_column type=”1_4″][et_pb_cta admin_label=”Call To Action” title=”Patient Info\/Demo” button_url=”http:\/\/www.schechtermd.com\/wp-content\/uploads\/2015\/04\/patientinfo.pdf” button_text=”Fill Out” use_background_color=”on” background_color=”#74b3ce” background_layout=”dark” text_orientation=”center” url_new_window=”off” use_border_color=”off” border_color=”#ffffff” border_style=”solid” custom_button=”off” button_letter_spacing=”0″ button_use_icon=”default” button_icon_placement=”right” button_on_hover=”on” button_letter_spacing_hover=”0″] [\/et_pb_cta][\/et_pb_column][et_pb_column type=”1_4″][et_pb_cta admin_label=”Call To Action” title=”Review of Systems” button_url=”http:\/\/www.schechtermd.com\/wp-content\/uploads\/2015\/04\/Review-of-Systems-New-Patient-Form.pdf” button_text=”Fill Out” use_background_color=”on” background_color=”#74b3ce” background_layout=”dark” text_orientation=”center” url_new_window=”off” use_border_color=”off” border_color=”#ffffff” border_style=”solid” custom_button=”off” button_letter_spacing=”0″ button_use_icon=”default” button_icon_placement=”right” button_on_hover=”on” button_letter_spacing_hover=”0″] [\/et_pb_cta][\/et_pb_column][et_pb_column type=”1_4″][et_pb_cta admin_label=”Call To Action” title=”Notice of Privacy” button_url=”http:\/\/www.schechtermd.com\/wp-content\/uploads\/2015\/04\/Privacy-Practices-Notice.pdf” button_text=”Fill Out” use_background_color=”on” background_color=”#74b3ce” background_layout=”dark” text_orientation=”center” url_new_window=”off” use_border_color=”off” border_color=”#ffffff” border_style=”solid” custom_button=”off” button_letter_spacing=”0″ button_use_icon=”default” button_icon_placement=”right” button_on_hover=”on” button_letter_spacing_hover=”0″] [\/et_pb_cta][\/et_pb_column][et_pb_column type=”1_4″][et_pb_cta admin_label=”Call To Action” title=”HIPAA Consent” button_url=”http:\/\/www.schechtermd.com\/wp-content\/uploads\/2015\/04\/HIPAA-Consent.pdf” button_text=”Fill Out” use_background_color=”on” background_color=”#74b3ce” background_layout=”dark” text_orientation=”center” url_new_window=”off” use_border_color=”off” border_color=”#ffffff” border_style=”solid” custom_button=”off” button_letter_spacing=”0″ button_use_icon=”default” button_icon_placement=”right” button_on_hover=”on” button_letter_spacing_hover=”0″] [\/et_pb_cta][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=”row” make_fullwidth=”off” use_custom_width=”off” width_unit=”on” use_custom_gutter=”off” custom_padding=”||0px|” allow_player_pause=”off” parallax=”off” parallax_method=”off” make_equal=”off” parallax_1=”off” parallax_method_1=”off”][et_pb_column type=”4_4″][et_pb_text admin_label=”Text” background_layout=”light” text_orientation=”left” use_border_color=”off” border_color=”#ffffff” border_style=”solid”]<\/p>\n
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[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=”row”][et_pb_column type=”1_4″][et_pb_cta admin_label=”Call To Action” title=”Health & Well Being” button_url=”http:\/\/www.schechtermd.com\/wp-content\/uploads\/2015\/04\/sf-12-v2-Health-and-Well-Being-Form.pdf” button_text=”Fill Out” use_background_color=”on” background_color=”#ddaa5d” background_layout=”dark” text_orientation=”center”] [\/et_pb_cta][\/et_pb_column][et_pb_column type=”1_4″][et_pb_cta admin_label=”Call To Action” title=”Pain Diagram” button_url=”http:\/\/www.schechtermd.com\/wp-content\/uploads\/2015\/04\/pain_diagram.pdf” button_text=”Fill Out” use_background_color=”on” background_color=”#ddaa5d” background_layout=”dark” text_orientation=”center”] [\/et_pb_cta][\/et_pb_column][et_pb_column type=”1_4″][et_pb_cta admin_label=”Call To Action” title=”TMS Questionnaire” button_url=”http:\/\/www.schechtermd.com\/wp-content\/uploads\/2015\/04\/tms_questionnaire_revised_8_03.pdf” button_text=”Fill Out” use_background_color=”on” background_color=”#ddaa5d” background_layout=”dark” text_orientation=”center”] [\/et_pb_cta][\/et_pb_column][et_pb_column type=”1_4″][et_pb_cta admin_label=”Call To Action” title=”Visual Analogue Scale (VAS)” button_url=”http:\/\/www.schechtermd.com\/wp-content\/uploads\/2015\/04\/Quadruple-Visual-Analogue-Scale-Form.pdf” button_text=”Fill Out” use_background_color=”on” background_color=”#ddaa5d” background_layout=”dark” text_orientation=”center”] [\/et_pb_cta][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=”row”][et_pb_column type=”1_4″][et_pb_cta admin_label=”Call To Action” title=”Disability Questionnaire (RDQ)” button_url=”http:\/\/www.schechtermd.com\/wp-content\/uploads\/2015\/04\/roland_morris_disability_questionnaire.pdf” button_text=”Fill Out” use_background_color=”on” background_color=”#ddaa5d” background_layout=”dark” text_orientation=”center”] [\/et_pb_cta][\/et_pb_column][et_pb_column type=”1_4″][\/et_pb_column][et_pb_column type=”1_4″][\/et_pb_column][et_pb_column type=”1_4″][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=”row”][et_pb_column type=”4_4″][et_pb_text admin_label=”Text” background_layout=”light” text_orientation=”left” use_border_color=”off” border_color=”#ffffff” border_style=”solid”]<\/p>\n
[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=”row”][et_pb_column type=”1_4″][et_pb_cta admin_label=”Call To Action” title=”Review of Systems Long” button_url=”http:\/\/www.schechtermd.com\/wp-content\/uploads\/2015\/04\/Review-of-Systems-Long-Form.pdf” button_text=”Fill Out” use_background_color=”on” background_color=”#dd6868″ background_layout=”dark” text_orientation=”center” url_new_window=”off” use_border_color=”off” border_color=”#ffffff” border_style=”solid” custom_button=”off” button_letter_spacing=”0″ button_use_icon=”default” button_icon_placement=”right” button_on_hover=”on” button_letter_spacing_hover=”0″] [\/et_pb_cta][\/et_pb_column][et_pb_column type=”1_4″][et_pb_cta admin_label=”Call To Action” title=”Designation of Personal Physician” button_url=”http:\/\/www.schechtermd.com\/wp-content\/uploads\/2015\/04\/work_comp_designation_of_personal_physician.pdf” button_text=”Fill Out” use_background_color=”on” background_color=”#dd6868″ background_layout=”dark” text_orientation=”center” url_new_window=”off” use_border_color=”off” border_color=”#ffffff” border_style=”solid” custom_button=”off” button_letter_spacing=”0″ button_use_icon=”default” button_icon_placement=”right” button_on_hover=”on” button_letter_spacing_hover=”0″] [\/et_pb_cta][\/et_pb_column][et_pb_column type=”1_4″][et_pb_cta admin_label=”Call To Action” title=”Advanced Health Directive” button_url=”http:\/\/www.schechtermd.com\/wp-content\/uploads\/2015\/04\/Advanced-Health-Care-Directive-Instructions.pdf” button_text=”Fill Out” use_background_color=”on” background_color=”#dd6868″ background_layout=”dark” text_orientation=”center” url_new_window=”off” use_border_color=”off” border_color=”#ffffff” border_style=”solid” custom_button=”off” button_letter_spacing=”0″ button_use_icon=”default” button_icon_placement=”right” button_on_hover=”on” button_letter_spacing_hover=”0″] [\/et_pb_cta][\/et_pb_column][et_pb_column type=”1_4″][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"
Please fill out the necessary forms prior to your appointment. This will help you get in and out of the office faster. If you have any questions about which forms to fill out or how to fill them out you can always give us a call. Required New Patient Forms Patients Who Have TMS […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-462","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/staging.schechtermd.com\/dev\/wp-json\/wp\/v2\/pages\/462","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/staging.schechtermd.com\/dev\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/staging.schechtermd.com\/dev\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/staging.schechtermd.com\/dev\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/staging.schechtermd.com\/dev\/wp-json\/wp\/v2\/comments?post=462"}],"version-history":[{"count":6,"href":"https:\/\/staging.schechtermd.com\/dev\/wp-json\/wp\/v2\/pages\/462\/revisions"}],"predecessor-version":[{"id":1194,"href":"https:\/\/staging.schechtermd.com\/dev\/wp-json\/wp\/v2\/pages\/462\/revisions\/1194"}],"wp:attachment":[{"href":"https:\/\/staging.schechtermd.com\/dev\/wp-json\/wp\/v2\/media?parent=462"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}