In preparation for your first appointment with Professional Physical Therapy, please print the Patient Forms below. Complete the forms at your convenience, and remember to bring them with you to your first scheduled visit.

These editable PDFs can be filled out digitally, but you are required to print them out and sign them.

If you prefer, you may print the forms and fill them out by hand.

Along with these forms, you should also bring:

  • Your Physical Therapy prescription, if applicable
  • Your insurance card or case number
  • Any relevant diagnostic reports you may have (for example, X-ray or MRI)

 

Patient Intake Form

 

Patient Medical History

 

Patient Notification Policy

 

Physical Therapy Attendance Policy

 

Electric Stimulation Pad Policy

 

Authorization & Consent to Treat a Minor