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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