Treatment

Patient Forms

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For Your First Visit

Welcome. We are honored to be your physical therapy provider. We realize filling out paperwork for healthcare in today’s world is no picnic. We have made every effort to minimize the paperwork required for our patients, while also getting the information we need to provide you with the highest quality service possible.

In order to make better use of your time at our clinic, we have provided you with registration forms to be printed and completed prior to arriving at your first appointment. The forms included in this registration packet enable us to learn about your condition and how it affects your daily life, understand your overall health, track the effectiveness of your rehabilitation, and accurately bill your insurance.

Registration Forms

Registration Forms Packet (3 forms) (.pdf format)

The following forms are included in the packet above:

  1. Patient Registration
    TAI_reg_thumbnailAll patients must complete this form down to the dotted line. If you have had an accident, you must also complete the section below the line. Please bring your insurance card(s) to your first visit, as we will need photocopies for our records.
  2. Patient Initial Questionnaire
    Your answers on this form will allow us to get an accurate picture of your current physical condition. This is valuable for a thorough evaluation by your therapist.
  3. Patient Health History
    This form provides us with pertinent medical information that may affect your condition and treatment.

Other Forms

Specialty Program Forms

Adobe Acrobat Reader is required to view the registration forms. You can download a free version of Adobe’s Acrobat Reader here.

Our Focus is You.

Patient Forms

 


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