Patient Forms

Please print and fill out in BLACK ink the following patient forms and bring them with you to your first visit. If you have all of your paperwork filled out & with you, we ask that you be here 20 minutes prior to your appointment time so we can go over forms, give you any additional paperwork you may need to fill out, collect co-pays if applicable, and enter you into the computer system.  If you do not have the forms, we ask that you arrive 30 minutes prior to your appointment time to fill out the necessary paperwork.

Thank you!

 

PATIENT FORMS TO BE PRINTED:
1) What to Expect - This form is yours to keep.

2) Patient Information – Please fill out completely.  If you have had physical therapy in the last year, please note where asked because some insurances only allow for a certain amount of therapy.

3) Patient Consent – Please read and sign.  If you would like a copy, please let us know when you check in.

4) Patient privacy notice – Please read and sign.  If you would like a copy, please let us know when you check in.

 

TAOS- You do not need to fill this out unless asked to do so.
Taos Lumbar
Taos Cervical Thoracic (neck/upper back)
Taos Upper Extremity (all upper extremities except for hand, neck and upper back)
Taos Lower Extremity (all lower extremities except for low back)
Taos Hand

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