AO Scan Profile Set Up 

We are your advocates for wellness,
Jim & Amy Miller (and team)

Please fill out the information below to set up your profile for the AO Scan. You only need to do this once. After that, you are in the system. This is NOT requesting services...only setting you up in the system. 
This information never leaves my personal device, it will only be used to set up a profile on the AO Scan Technology program to perform the scans. 

Name of Person That Will be Scanned