Accessibility View Close toolbar

Online Forms

Back in Balance offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, click here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

Patient Forms

• Confidential Patient Background Form (Download)
• Consent Form (Download)
• HIPPA Form (Download)
• Appointments Policy Form (Download)



Download the Free Adobe Reader®

Contact Us Today

We look forward to hearing from you

Locations

Office Hours

General Office Hours

Monday:

7:30 am-6:00 pm

Tuesday:

8:00 am-7:30 pm

Wednesday:

7:30 am-6:00 pm

Thursday:

7:30 am-6:00 pm

Friday:

8:30 am-5:00 PM

Saturday:

Closed

Sunday:

8:00 am-5:00 pm

Dr. Kaplove's Office Hours

Monday:

8:00 am-5:00 PM

Tuesday:

10:00 am-7:00 pm

Wednesday:

8:00 am-5:00 PM

Thursday:

11:30 am-7:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed