Become a Patient Join the Underwood Healthcare Family If you plan on coming in for a combination therapy treatment, complete the form below prior to coming in …DPC agreement… and bring a copy of this form to be completed.Treatment OptionsAll patients self-pay or insurance must complete the following form before treatment can begin.New patient form Leave Your Information Below and We Will Reach Out to You Take The First Step to a Pain Free Life Your First Name (required) Your Last Name (required) Your Email (required) Your Phone Number (required) Δ