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OWCP / DOL–enrolled medical practice · Las Vegas & North Las Vegas
NuTheraInjury Recovery & Wellness
Intake

New patient forms.

Complete your intake forms before your first appointment. It saves time at check-in and lets our clinicians review your history in advance.

Your privacy is protected. All intake forms are processed through our HIPAA-compliant system under a signed Business Associate Agreement. See our Notice of Privacy Practices for details on how we use and protect your health information.

Primary Care / General Medical Intake

Required for all new patients. Demographics, insurance, medical history, medications, allergies, and reason for visit. Fillable PDF — complete it on your computer before your visit.

8 pages · 15 – 20 minutes

DOL / OWCP Pre-Visit Intake Packet

For federal employees and DOL-covered work injuries. Demographics, medical history, medications, and consents — everything you can complete at home. Claim-stage paperwork is handled with our team at your visit.

8 pages · complete instead of the general intake

Aesthetics Patient Intake

For medical aesthetics and wellness visits. Demographics, insurance, relevant history, and treatment goals.

9 pages · 10 – 15 minutes

Consent to Treatment & Financial Responsibility

Standard acknowledgment of treatment and billing policies. Completed and signed at your first visit — no download needed.

2 – 3 minutes, at the clinic

How you'll receive your forms

Download the fillable PDF for your visit type above, complete it on your computer, and return it by email ( admin@nuthera.us), fax (504-370-5627), or bring it to your appointment. Prefer not to handle paperwork? Request an appointment and our team will email you secure links through our HIPAA-compliant portal instead.

Looking for OWCP or personal injury forms instead? Start at the Patient Forms hub.

Ready to start?