New Patient

Intake Forms

Below are the forms you will need to print and complete before your scheduled appointment. During the initial evaluation you and your Physical Therapist will thoroughly review the paper work before the physical assessment is started.

CONSENT TO PHYSICAL THERAPY EVALUATION & TREATMENT FORM

CONSENT TO DRY NEEDLING TREATMENT

CONSENT TO TELEHEALTH THERAPY FORM

ADKNOWLEDGMENT OF PHYSICAL THERAPY DIRECT ACCESS FORM

ACKNOWLEDGMENT OF RECEIPT OF NOTICE OF PRIVACY PRACTICE FOR PROTECTED HEALTH INFORMATION

ACKNOWLEDGMENT OF CANCELLATION AND NO SHOW POLICY FORM