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New Client Forms

To expedite your registration process, please print and complete the following forms.

Choose the correct consent form.
• If you are using your insurance for your physical therapy services, please complete the Client Consent Insurance form.
• If you are electing to pay for your physical therapy out of pocket, please complete the Client Consent Self Pay form.
• If you are electing to utilize a virtual visit consultation, please complete the Client Consent Virtual Visit form.

All clients should complete the Client History form and sign the Privacy Acknowledgement. The Privacy Notice is for your information only and does not require a signature. If you would rather provide a written copy of your medication list, please bring that list to your first appointment and we will be happy to copy it for your chart.

If you are electing to utilize our transportation services, please complete the Transportation Waiver form.

Client Consent Insurance Client Consent Self Pay Client Consent Virtual Visit
Client History Privacy Acknowledgment Privacy Notice
Transportation Waiver