New & Existing Patient Forms

Below are all the forms that you would need to complete prior to your first visit. Please use the New Patient Forms Pack (green icon below) for your first visit.  It has all the forms you would need is a single download.  

If you’re an existing patient, please see the other forms for your needs if critical contact or insurance information changed between visits or if you need form(s) for minors.

All forms are required, prior to your first visit.  The “Authorization and Consent to Treat a Minor” form is only needed if we would need to treat your minor son or daughter.

Patient Information Form

Patient information form that captures all relevant address, contact and insurance details for each patient. This would need to be updated if any of the aforementioned has changed between visits.

Patient Notification Policy

Health Insurance Portability and Accountability Act (“HIPAA”) Privacy Rule and our Notice of Privacy Practices that we need you to understand.

New Patient Forms Pack

This is a single download of all the forms you would need for your first visit. Please save and complete prior to your visit. If you have any questions feel free to call us so we can help you.

Patient Attendance Policy

We strive to provide the highest quality of care while attempting to accommodate each patient’s schedule. This is our policy on scheduling and reserving your therapy time-slot and our commitment to every patient.

Medical History Form

Medical history checklist that helps us understand your current and previous health conditions. We use this information to come up with the best physical therapy and rehabilitation treatment for you!

Authorization & Consent to Treat Minors

Parental / Guardian Consent Form to treat a Minor.