Patient Information Patient Forms

These forms are in Adobe's Portable Document Format (PDF). If you do not have the Adobe Acrobat Reader installed on your system, you may download it for free from Adobe's website.

To save time, you may print these forms, complete them before your appointment, and bring them with you.  Please be sure to select the correct form for your insurance coverage (Medicare, Private Insurance, Workers' Compensation). If you are not sure which to use, please call us first! 
 

For Physical Therapy

• Intake forms for Medicare patients
• Intake forms for Workers' Compensation patients
• Intake forms for Private Insurance patients

For Pool Exercise Classes

• Arthritis Pool Classes: Terms of Use & Physician’s Approval
• Independent Pool: Terms of Use & Physician’s Approval

Information Privacy Policy

This notice describes how medical information about you may be used and disclosed and how you can get access to this information.

• Privacy Policy