New Client Forms

New Client Patient Profile

Complete the New Client Intake Waiver Form:

Patient Profile

Please arrive 15-20 minutes early for your first appointment

Electronics are not allowed in the chamber

(No phones, computers, watches, lighters or other electronics allowed inside the chamber)

Physician Referral Form

Have your provider fill out the custom referral form

Physician Referral

We are happy to work with all providers who would like to refer patients. Furthermore, we can provide information seminars to physician offices, staff and patient groups if desired. Besides treatment and helping patients, one of our goals is to help increase awareness about hyperbaric oxygen treatments and its benefits.

Treatment Order Sheet

Custom order sheet for your provider

Physician Order

Custom order sheet made with orders based upon pathology with according treatment protocols.