Patient Forms

Please download and complete the following forms and bring them to your first appointment: (1) New Patient Information Form, (2) Medical Intake Form, (3) Consent and Financial Responsibility Agreement, and (4) Notice of Privacy Practices. If you are seeking treatment as part of a workers’ compensation claim, then please complete the Workers’ Compensation Form as well.

Outcome Measures Help Us Improve Our Care

Outcome measures are a proven way to measure functional limitations and are an important tool in the rehabilitation process. Your answers will help your physical therapist to shape your treatment plan and monitor your progress. We may also share information from these forms with your insurance company to demonstrate that your treatments are medically necessary. And, as a clinic, we use these forms to track our results to ensure that we are consistently providing the highest quality of care.

We will let you know which form you should complete when you schedule your first appointment. Please complete it to the best of your ability, based upon how you are feeling today.