Client Resources

New Client Forms

​New clients may register in advance using the Athena patient portal or by completing the forms below.  If you prefer to register in person, please arrive 20-minutes early the day of your appointment.

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• Health History

• Consent to Treat

• Privacy Notice

• Receipt of Privacy Notice 

• Assignment of Benefits

• Financial Agreement

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• Release of Information

• Good Faith Estimate

• Superbill (Learn More)

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Additional Forms

• ​FM Female Intake

• FM Male Intake

• FM MSQ

• FM HPA Axis Questionnaire

• FM Toxin Exposure

• Chiropractic Consent

• Chiro New Patient Intake

• Chiropractic Neck Index

• Chiropractic Low Back Index

• Chiropractic Systems Survey

• Dry Needling Consent

• Mental Health Intake

• Mental Health Consent

• Esthetics Intake

• Chemical Peel Consent

• Chemical Peel Aftercare

• Dermaplaning Consent

• Microcurrent Consent

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Athena/Mindbody

The Athena patient portal can be used for new client registration, as well as to conveniently update your personal information, view your upcoming appointments, see your lab results, and pay your bill.  For scheduling, please call our front desk at 563-207-8932. 

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• Athena Patient Portal​

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Mindbody can be used for scheduling classes, workshops and events as well as some appointments.  This platform is also used for our retail sales and gift card purchases. 

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• Mindbody ​​​​​​

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Telehealth

Some of our providers do offer telehealth appointments on a case-by-case basis.  Prior to your first telehealth appointment, please review and sign the telehealth waiver.  

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• Telehealth Waiver​​​

• Katherine Gansen

• Sarah Mitchell

• Karin Anderson

• Nicole Hutchison

• Allie Saunders

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