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 files 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 witPatient Notification Policy and Consent_REVISED OCTOBER 2017h 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 and Consent


Physical Therapy Attendance Policy


Electric Stimulation Pad Policy


Medication List for Medicare Patient


Notice of Privacy Practices Acknowledgement Form


Direct Access - New York


Direct Access - New Jersey


Direct Access - Connecticut