{"id":746,"date":"2021-04-13T13:34:04","date_gmt":"2021-04-13T13:34:04","guid":{"rendered":"https:\/\/panaceatherapyco.com\/?page_id=746"},"modified":"2022-08-14T01:42:46","modified_gmt":"2022-08-14T01:42:46","slug":"patient-forms","status":"publish","type":"page","link":"https:\/\/panaceatherapyco.com\/patient-forms\/","title":{"rendered":"Patient Forms"},"content":{"rendered":"\n<h2>\n\t\tPATIENT FORMS\n\t<\/h2>\n\t<p>Please fill out the forms listed below. For your convenience you can either click to download the form or fill it out online. Please let us know if you are in need of help! Do more of the things you love with the people you love, without the pain.<\/p>\n\t\t\t<a href=\"https:\/\/panaceatherapyco.com\/adult-intake-form\/\" target=\"_blank\" role=\"button\" rel=\"noopener\">\n\t\t\t\t\t\t\tADULT PATIENT INTAKE\n\t\t\t\t\t<\/a>\n\t\t\t<a href=\"https:\/\/panaceatherapyco.com\/pediatric-intake-form\/\" target=\"_blank\" role=\"button\" rel=\"noopener\">\n\t\t\t\t\t\t\tPEDIATRIC PATIENT INTAKE\n\t\t\t\t\t<\/a>\n\t\t\t<a href=\"https:\/\/panaceatherapyco.com\/equiscope-form\/\" target=\"_blank\" role=\"button\" rel=\"noopener\">\n\t\t\t\t\t\t\tEquiscope Release\n\t\t\t\t\t<\/a>\n\t\t\t<a href=\"https:\/\/panaceatherapyco.com\/consent-for-care-insurance-authorizaton\/\" target=\"_blank\" role=\"button\" rel=\"noopener\">\n\t\t\t\t\t\t\tINSURANCE AUTHORIZATION\n\t\t\t\t\t<\/a>\n\t<p>We work together to solve current challenges; we are very invested in ensuring each client has a unique plan forward<\/p>\n\t<p><em>CONNECT WITH US:<\/em> \u00a0\u00a0\u00a0\u00a0 <a href=\"https:\/\/www.facebook.com\/panceatherapy\" target=\"_blank\" rel=\"noopener\">FACEBOOK<\/a><\/p>\n\n","protected":false},"excerpt":{"rendered":"<p>PATIENT FORMS Please fill out the forms listed below. For your convenience you can either click to download the form or fill it out online. Please let us know if you are in need of help! Do more of the things you love with the people you love, without the pain. ADULT PATIENT INTAKE PEDIATRIC [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Patient Forms - Panacea Therapy Co.<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/panaceatherapyco.com\/patient-forms\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Patient Forms - Panacea Therapy Co.\" \/>\n<meta property=\"og:description\" content=\"PATIENT FORMS Please fill out the forms listed below. 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