Patient Forms

New Patient Forms

Frequently Asked Questions

Are you covered by insurance?

We currently accept Blue Cross Blue Shield, Medicare, and Tricare. For patients that are out of network, we are happy to provide a courtesy call to your insurance company to find out if you have out of network benefits, and go over them with you. We can also file on your out of network benefits, so every visit goes towards your out of network deductible.

Can I pay for my session online?

Yes! You may pre-pay your session via our Square Up store. We accept all major credit cards in person, as well as cash and checks.

Where can I find your new patient forms?

New patient registration as well as other related forms can be found above. If you fill out our new Patient Registration we will call you to schedule your appointment within 48 hours of submission, or you can schedule directly on website.

How can I schedule an appointment?

New patient’s can schedule an appointment from website, or call the office to be scheduled. If a New Patient fills out our New Patient Registration Form, we will also give you a call to schedule your appointment.

Schedule An Appointment
Do you only work with women?

Many of the impression that I only treat women because they are the only ones with “pelvic problems.” Well I’m here to say this is a sad misconception I not only treat women during pregnancy, post partum, and later in life for a varitety of reasons, but I also treat men that are experiencing pelvic pain, incontinence, and/or constipation as well as kids.

Do I have to have a prescription from my physician?

In the state of Texas we are a partial direct access state meaning I do not need a prescription for an evaluation, but Do need one to perform any treatment. It’s better to have one, but it can be from any practitioner authorized to prescribe treatment such as a primary care physician, OBGYN, chiropractor, midwife, and nurse practitioner.

What can I expect?

On your first visit we will collect quite a bit of information from you, so please bring any prior tests or diagnostics run such as colonoscopys, ultrasounds, MRI’s, Xrays, etc because we will review them and ask you questions. Then we will perform an examination within your comfort level. There is no specific attire that you should wear depending on the plan of care we both come up with we can provide you with better

Is there a cancellation policy?

Yes, if you cancel your appointment less than 24 hours before your appointment you will be subject to a cancellation fee of $50.