Women's Health Forms:

1. New Patient Information Form
2. Women's Pelvic Floor History Form
3. Financial Agreement Form
4. Patient Privacy Policy
5. No Show Policy
6. Back to Forms & Patient Information

To a large extent, the speed and quality of your recovery depends on you! You are a partner in the treatment plan formed by your therapist and your physician, and with hard work and perseverance you will achieve the best possible outcome.

Before your first visit:

Contact your insurance and KNOW your responsibility for your physical therapy services. You may want to ask about: deductible, co-pay/coinsurance, if a doctor’s prescription is required for payment, and understand any other limitations regarding your physical therapy treatment. Doing this will prevent any unexpected payment requirements on your part.

For your first visit:

1. Arrive 30 minutes before your schedule appointment time to fill out your patient intake forms. (if you print and fill out these forms at home and bring to your visit you may arrive 15 minutes early)
2. Be sure to bring your insurance card and a photo ID.
3. Bring a list of current medications, dosage, and reason for taking.
4. Bring your prescription for physical therapy, if applicable.
5. Be prepared to pay your co-pay/coinsurance, or deductible if applicable.

Have more questions?  Please visit our FAQ’s page

 Other Forms