Patient forms

Please see the forms attached below to help facilitate your referral and your initial visit.  In order to see Meg at AIRE, a referral from an MD/DO is required as athletic trainers in the State of Michigan require collaboration with one of the aforementioned health care providers per the State Practice Act.  This ensures quality care for the patient, ease of follow up with the physician most informed about your orthopedic pain and timely referral for additional imaging or prescription needs.  Please share the Physician Order with Cover page with your MD/DO familiar with your pain or ask for a referral to be sent from the physician's office for "Rehabilitation”, "Physical Medicine and Rehabilitation,"  or "Athletic Training Services" to AIRE AT, LLC at the

fax #:  888.608.4834.  

Our initial appointment will consist of an evaluation of your injury/pain, a movement analysis, a formulation of the cause of your pain, short treatment session and plan of care in the form of corrective and rehabilitative exercises and stretching performed both at home and during our sessions.  Part of your success in our plan is the time you put into performing your stretching and exercises outside of our sessions. Many times we are dealing with conditions precipitated by posture, sleep and dysfunctional mobility due to tightness and weakness.

Please fill out the Patient Intake Package I sent to you online PRIOR to your first appointment with me (Google form). Read the guidelines for treatment and if you have remaining questions, when you arrive, don't hesitate to ask. Please be forthcoming with anything you have questions about or medical history which might influence our treatment. If you have documentation from previous testing/imaging, having that with you or sent to me would be helpful as well prior to our appointment.  

FORMS

Physician Referral Form for NEW Patients