To request your patient records be released to you, your physician or another physical therapy practice, please download and return the Records Release form below to our office .
Usually, most of your first visit to a medical office involves filling out forms and digging in your wallet for information. We’ve tried to make that part a little easier. You can download our initial intake forms by clicking on the appropriate link below. Please print out all relevant forms and fill them in at your convenience. Or call our front office and we’ll be happy to mail or fax them to you in advance of your initial appointment.
2) Health History
3) Assignment of Benefits
4) HIPAA (Notice of Privacy Practices)
5) Medicare Payment & Cancel Policy
6) Subjective page 1
7) Subjective page 2
8) Home Health Questionnaire