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Physical Therapy Intake Paperwork

Physical Therapy Intake Paperwork

Below are the documents we ask all first-time Reflex Physical Therapy (PT) patients to fill out prior to their PT initial evaluation.  Feel free to download, print, and fill out these forms before coming into the clinic to save time.  If you have already had an appointment at Reflex, you only need to complete the top two forms.

 

Physical Therapy Intake Form

 

Physical Therapy Consent Form

 

Financial Policy Agreement

 

Medical Document Release Form

 

Confidential Personal Information Form

 

HIPAA Consent Form

 

 

Call us to learn more about how Reflex can relieve your knee pain. Schedule your initial evaluation: (503) 719-6783