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 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 and Consent
Electrical 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