PaperworkFor patient: Athletic Medicine Intake FormFor referral provider: A referral is required from an allopathic or osteopathic physician, podiatrist, advanced practice registered nurse, physician associate, physical therapist, naturopath, dentist, or chiropractor. PDF for printing and signing orSecure link for electronic submission Rates Athletic Restoration Evaluation $125Athletic Restoration Session $120Sliding Scale is available - please emailInvoice is provided at the end of the month