Patient Forms & Patient Portal
New patients will need to fill out several forms before therapy can begin. To make the process as smooth and efficient as possible, we provide the most important documents as downloads right here on our website.
Find out which forms you need to submit, select the appropriate download link and return the completed documents to our practice either in person, by fax or as a scanned PDF file via e-mail. Naturally, all forms are also available at the practice; however, filling them out in advance saves time.
**If you are asked to log on to the patient portal through simple practice, you may do so through the following link here: https://monica-blume.clientsecure.me
Please Print and fill out the following form(s):
These Documents are required only if your Clinician asks you to fill them out.
Client Payment Forms - Bishop.pdf
Adobe Acrobat document [166.3 KB]
Note: You will need Adobe(r) Reader(r) to view PDF files. If you do not have it, you can download it for free.
To sign up for the Thrive Camp this summer, fill out this form:
Springville Office:
1220 N. Main Street #11
Springville, UT 84663
Draper Office:
11576 S. State Ste. 202
Draper, UT 84020
Jacksonville Office:
701 Market Street suite 115
St. Augustine, FL
32095
Billing questions or insurance estimates: 801.562.4484
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