We’ve compiled some helpful forms to help better prepare you for the day of your Physical Therapy evaluation or Wellness consult. To save time, get a jump-start by downloading and printing out the following:
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Physical Therapy
We’ve updated our forms to allow you to type directly into the documents!
FILLABLE PDF: Complete Patient
Paperwork – Non-Medicare
Type directly into the PDF and
print or e-mail it to us.
FILLABLE PDF: Complete Patient
Paperwork – MEDICARE
Type directly into the PDF and
print or e-mail it to us.
If you’d like to print out the standard paperwork, you pay print the three documents below:
Financial Policy
Complete this form and bring it with you the day of your evaluation.
Patient Information Sheet
Complete this form so we have your contact information and medical history.
Wellness
Member Information Sheet
Tell us about yourself! Complete this form and bring it with you to your scheduled consult.
Wellness Clearance Form
The first step to joining our Wellness Program is having your doctor clear you for exercise. Print this form to get a head start!
Take a moment to review our Membership Plans to see which one best suits your needs.
