Helpful Forms

All new patients must complete the following forms and bring to your first visit:

If you are seeking treatment for sleep please complete the following forms. For adolescents (ages 12-17) please complete the Sleep Intake Questionnaire and Adolescent Sleep Measures.

 

There is a sleep diary at the end of the forms. If you are able to record your sleep patterns prior to the first visit Dr. Gentry can provide you feedback. If not, you will start recording your sleep patterns as part of treatment.

 

If you are seeking treatment for chronic pain please complete the following questionnaire:

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