Richard C. Gerardo, D.C., C.S.C.P.Chiropractic - TMJ Therapy
Here are all the forms you will need before your appointment. You can print these and fill them out before your visit. Thank you!
View in Adobe Acrobat
View in Google Docs
Confirm to Consent
Patient Payment Agreement
Arbitration Agreement
Direct Payment Form
TMD Disability Index
TMD Symptom Intensity Scale
Any Body Pain VAS
Headache Pain
Neck_Pain
Patient Case History page 3
Any Body Pain_VAS
Headache_Pain