Physical Therapy New Patient Forms:
For physical therapy patients, please complete the following (4) forms. Bring hard copies of the completed forms with you on your first visit. Depending on your insurance and injury, there may be additional forms to be completed in our office. And don’t forget your insurance card(s)!
- Patient Information Sheet
- Risk Factor- Medical History Form
- Medicare Prescription Log
- Consent to Treat
HIPAA – The Patient Privacy Act:
Please feel free to print a copy for your records. We do not require that you bring this form in with you to your first visit.