Downloadable Forms

To download, simply click on the link and the file will download to your documents folder (PC) or to your downloads folder (Mac).

PHYSICAL THERAPY PATIENTS

All New patients, please download and complete the following forms for your first appointment

• Patient Registration
• HIPAA Privacy Policy
• Pre Exam Questionnaire
• Cancellation Policy

**MEDICARE/ MEDIVANTAGE PATIENTS ONLY**   Please choose appropriate form for your specific injury/ body part and complete for your first appointment

• Arm Shoulder Hand
• Low Back
• Lower Extremity
• Neck
• Dizziness Handicap Assessment

COUNSELING CLIENTS

Please complete the first three forms for your first session. Complete Bishop’s Assistance Form as needed prior to the first session.

• New Client Assessment
• Professional Disclosure
• Confidentiality Agreement
• Bishop’s Assistance Form
• Cancellation Policy

MASSAGE THERAPY PATIENTS

Please complete the following two forms for your initial visit

• New Client Intake
• Policies and Procedures

MISCELLANEOUS FORMS

• AQUATIC THERAPY PROGRAM
• Protection Agreement