Download, fill, and return before your first visit — or send a referral if you’re an attorney or case manager.
NuThera uses two personal injury forms: a fillable Patient Intake packet completed by the patient before their first visit, and a Referral Form completed by attorneys or case managers sending us a client. Both are fillable PDFs — complete them on your computer, then email, fax, or bring them to either Las Vegas clinic. Lien-based billing cases welcome. Questions? Call (725) 726-7914.
The complete new-patient packet for personal injury care: patient information, comprehensive history & physical worksheet, and accident details. Fill it out on your computer or print and complete by hand.
The fastest way to refer a client to NuThera. Patient information, case information, and attorney/case manager contact details on a single form — our team schedules the patient on receipt.
Email your completed form to admin@nuthera.us, fax it to (504) 370-5627, or bring it to your appointment — whichever is easiest. Standard email is not encrypted; if you prefer not to email health information, fax or bring the form in person. All options and details are on the Patient Forms hub.
MD/PA-led evaluation, structured physical therapy, and the defensible documentation your case needs. Lien-based billing available.