Patient Forms

New Patient Forms

Please download and fill out the following 5 forms prior to your first visit.

Conditions of Treatment (pdf)
Case History (pdf)
HIPPA Notice of Privacy Practices (pdf)
Quadruple Visual Analog Scale (pdf)
Pain Drawing (pdf)

Additional Forms for Specific Treatment

If you have specific treatment areas you wish to discuss with Dr. Saddik, please download and fill out any of the pertinent forms below.

Disabilities of the Arm, Shoulder and Hand Questionnaire (pdf)
Carpel Tunnel Questionnaire (pdf)
Headache Disability Index Questionnaire (pdf)
Neck and Pain Disability Index Questionnaire (pdf)
Oswestry Low Back Pain Disability Questionnaire (pdf)
Knee / Patello-Femoral Questionnaire (pdf)
TMD Disability Index Questionnaire (pdf)