Forms

Feel free to contact us for any questions, comments, or concerns that you may have.

Below are links to forms which new, current, and previous patients can download and fill out. The forms are in PDF format, which can be filled out on your computer. Just choose English or Spanish.

Please save or print the form after it is completed and bring into your first appointment.

Medical History
Form

It is vital that we get the correct information about your medical history so that PTHC’s physical therapists can make a proper evaluation, consultation, and proper planning for your treatments.

Finance
Policies

Please read, review, and sign this form regarding our financial policies.

Patient Information
Practices

Please read, review, and fill out this form as it is required by PTHC staff to start your initial and follow-up treatments. This form provides your private information regarding disclosure, patient individual rights, concerns and complaints, and patient information acknowledgements.