Amber Robidoux, LAc, LMT, CST

Low Back Disability Index

Please fill out this form if you're experiencing back pain.

Neck Disability Index

Please fill out this form if you're experiencing any amount of neck pain.

Depression Assessment

Please fill out this form if you'd like to discuss your melancholy. (Doesn't necessarily need to go in your record.)

Headache Disability Index

Please fill out this form if you've been experiencing headaches.

Health History

Please print, fill out, and bring to your first appointment.

Disability measure of the Arm, Shoulder, and Hand

Please fill out this form if you're experiencing arm, shoulder, or hand issues.

Neck Index (UHC)

Please fill out this form if you're experiencing neck issues

Back Index (UHC)

Please fill out this form if you're experiencing back issues

Lower Extremity Functional Scale

Please fill out this form if you're experiencing hip, leg, knee, ankle, or foot issues..

Intended Outcomes Form

This form will help you clarify your goals for your overall health and vitality, including our time together.