WE THANK YOU FOR YOUR INTEREST IN BECOMING A PATIENT AT THE Nexus Group!
PLEASE REVIEW THE 
CLINIC POLICIES BEFORE CONTINUING. 

 


In order to potentially become a patient at the clinic, we ask that you first complete the secure online intake form by clicking the button at the bottom of this page.

After completion of this form, we typically will contact you within one week prior to scheduling your first appointment..

Completion of the intake paperwork does not guarantee an intake appointment nor constitutes a treatment relationship with the clinic. 



NEW PATIENT INTAKE FORM

Please click below to complete the new patient intake form.

Note: this form should be filled out in its entirety. Any sections left blank may cause a delay in our responses back to you and the scheduling of your initial appointment. Please click “Submit” once you have complete the form.

All forms must be completed by the patient with the exception being parents completing forms for children under the age of 18. Any forms completed by persons other than the patient may require the patient to resubmit a form that they themselves have completed and may result in a delay in scheduling.

Dr. Thorkelson will review all intake forms and the office staff will contact you with any additional questions or clarification needed. We endeavor to contact all patients within a week of receiving their intake form to discuss scheduling an appointment. Please contact the office if you have completed an intake form and have not received a call withing two weeks of submitting.

Thank You!