Dr. Iverson will be on leave August 3 through August 21 or longer. Thank you for your patience with replies during this time.

Please fill out this form for clients that are younger than 1 year old. Thank you for filling out this registration form. I will review it and contact you to schedule via email. Alternatively, you may print this form and submit it by mail.

We strongly recommend that you call your insurance company prior to your first visit to learn about your coverage with us. We are happy to help with any questions after you have spoken with your insurance to fill out this form.

By initiating communication via email or internet contact form and/or responding to an email sent by Shine Integrative Physical Therapy or any of Shine's employees, you are giving consent for initial and continuing communications through these means, while acknowledging potential risks of non-encrypted email communication.

Infant Intake Form

Shine Integrative Physical Therapy