Online Forms                      

Save time on your first visit!  Click on each of these five forms and print them. 
Fill them out and bring them with you to our office.

Patient Information

Patient History

Assignment of Benefits

Privacy Policy

Patient Health Questionnaire

 

The other form that you need to fill out is a functional scale that corresponds to the body region that we will be seeing you for

Back Index      (lower back region)

Neck Index      (neck region)

Lower Extremity   (hip, knee, ankle or foot)

Upper Extremity (shoulder, elbow, wrist or hand)

Remember to arrive for your appointment 10 minutes ahead of time.  Dress appropriately--bring shorts for a lower extremity problem or a short sleeved T-shirt for an upper extremity problem.  We have locker rooms for you to change in and store your belongings.

 

Additional Forms

Our Organization's HIPAA Policy Statement

 

Mission Statement ~ Location FAQ ~ View our facilities ~ Meet our staff ~ Insurance Help ~ PT as a Profession
Print out intake forms online!
~

Home ~ Eastside ~ Westside ~ Westchester