Patient Forms

If you would like to make an appointment, please call us at 906-225-1321.

Once you've made an appointment, various forms are provided below that you can print and complete prior to your appointment. Doing so will help make your time to see the physician faster.

Accessing the forms requires Adobe Acrobat Reader to be loaded on your computer. (If you don't already have it, you can download Adobe Acrobat Reader for free.) The amount of time to load the forms will vary based on the type and speed of your internet connection.

ALL Patients

Please print and complete the Patient Authorization form below. Notice of Privacy Practices brochure is available for download below:

For Drs. Pearson, Blotter, Davenport, Peimer, Songer (non-spine), and Southern (non-spine) patients or PA Rutkowski, Weatherdon, Foley or FNP Pritchett (non-spine) and NP McLain (non-spine) patients

Please print and complete the Patient Health History form below (2 pages):

Patient Health History

For Dr. Colligan and PA Asmus patients

Please print and complete the History Questionnaire forms packet below (8 pages):

History Questionnaire

For Drs. Songer (spine) and Southern (spine) patients or FNP Pritchett (spine) and McLain (spine) patients

Please print and complete the Pain Questionnaire below (10 pages):

Pain Questionnaire

For Drs. Songer and Southern scoliosis patients

Please print and complete the Scoliosis Patient Questionnaire below (3 pages):

Scoliosis Patient Questionnaire

For Drs. Songer and Southern pediatric scoliosis/spine patients

Please print and complete the Pediatric Spine Patient Questionnaire below (1 page):

Pediatric Spine Patient Questionnaire