Patient Forms

By reading and preparing the following forms prior to your first appointment, you can speed up the the intial process before your treatment.

Use the form below to prepare for Prehab treatment. Ask your surgeon or referring doctor to complete it - then bring it with you to your first appointment with your physical therapist.

Prehab Referral Form

Use the link below to access our patient information form.

Patient Information Form

Click on one of the links below to use our authorization to pay benefits form.

Authorization to Pay Benefits - Medicare

Authorization to Pay Benefits - Private Insurance

Click on the link below to read a copy of our HIPAA Notice of Privacy Practices

HIPAA Page 1

HIPAA Page 2

Click on the link below to use our HIPAA Receipt Acknowledgementform.

HIPAA Privacy Form