Patient / Client Forms
Welcome to the Ready Pain Management +GYM Forms Center.
Complete your form(s) before your appointment to help make your visit as efficient as possible. Each button opens a secure online form in a new tab, so you can sign from any phone or computer. Paper forms are available at the office if needed.
Or jump to a group:
Start Here: All New Patients
Sign these before your first visit. They set up your chart, and if you were treated somewhere else, the records release lets us request your past imaging, notes and test results.
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New Patient Form
Every new patient starts here. Sign before your first visit.
Sign the New Patient Form (opens in a new tab) -
Medical Records Release Authorization
Lets us request your records from another medical facility.
Sign the Records Release (opens in a new tab) -
Media Release & Marketing Consent
Your choice on photos, video and marketing use.
Sign the Media Release (opens in a new tab)
Privacy and HIPAA Policies
Review how we use and protect your personal health information, then sign to confirm.
Natural Medicine, Hormone and Weight Forms
For medical and longevity care, in person or by telemedicine. Sign the form that matches your program.
Learn about: Testosterone replacement therapy, Medical weight loss
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Natural Medicine: Florida Patients
Medical form for natural medicine patients in Florida.
Sign the Florida Medical Form (opens in a new tab) -
Natural Medicine: Georgia Patients
Georgia patients: call us and our team will send your medical form.
Call for the Georgia Medical Form -
Testosterone (TRT)
Consent and intake for testosterone replacement therapy.
Sign the TRT Form (opens in a new tab) -
Weight Management
Consent for our physician-directed weight management program.
Sign the Weight Management Consent (opens in a new tab)
Pain and Nerve Care Forms
Consents and agreements for pain and nerve treatment. Patients who receive any opioid prescription also complete the opioid agreement and risk assessment.
Learn about: Shockwave therapy, Nerve care for neuropathy
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Neuropathy / Nerve Care
Intake form for neuropathy and nerve care patients.
Sign the Nerve Care Form (opens in a new tab) -
Shockwave Therapy Consent
Consent for acoustic shockwave therapy treatment.
Sign the Shockwave Consent (opens in a new tab) -
Opioid Agreement
Patient agreement for any opioid medication.
Sign the Opioid Agreement (opens in a new tab) -
Opioid Risk Assessment
Short screening questionnaire before opioid therapy.
Go to the Assessment (opens in a new tab)
Body and Recovery Forms
Massage, MediCupping and body optimization treatments. Massage and MediCupping are provided by Kimberly Boler, LMT (MA76368), massage establishment MM45858.
Learn about: Therapeutic massage, MediCupping, EMSCULPT NEO, EMSELLA, Cellutone
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Massage / MediCupping Clients
Intake for massage and MediCupping with Kimberly Boler, LMT.
Sign the Massage Form (opens in a new tab) -
EMSCULPT NEO
Consent for EMSCULPT NEO muscle building and fat reduction.
Sign the EMSCULPT NEO Form (opens in a new tab) -
EMSELLA
Consent for EMSELLA pelvic floor treatment.
Sign the EMSELLA Form (opens in a new tab) -
Cellutone
Consent for Cellutone vibration therapy.
Sign the Cellutone Form (opens in a new tab)
No form matches that search. Call us at (850) 735-4907 and our team will help.
Don't See the Form You Need or It Does Not Work?
Additional forms may be provided to you by our staff to complete in the office. If you have questions, please contact Ready Pain Management at (850) 735-4907.