Forms

These are forms you were sent when your appointment was made. They are to be filled out before your appointment. You may also download copies of the forms below:

Patient History

Pain assessment

Activity of Daily Living

HIPAA privacy practices and release

Privacy and HIPAA

Warbritton & Associates provides only medical-legal reports for the Workers’ Compensation Insurance System and is not a treating health facility. As such, Warbritton & Associates is specifically exempted from the Health Insurance Portability and Accountability Act of 1996 (HIPAA, Title II).

To maintain the privacy of your medical records, however, this practice does follow HIPAA guidelines regarding the privacy of your health information. For more on HIPAA, see the Department of Health Services HIPAA Site.