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Patient Forms
Upon your first visit to our physical therapy clinic, you will need to complete several forms that will provide our therapists with the information they need to  provide you with the best possible medical care.

If you choose, the following forms may be printed off, completed as able, and brought with you prior to your first visit to our clinic to accelerate the patient registration process.
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Patient Registration

Summary of Our Notice of Privacy Practices

Notice of Privacy Practices Acknowledgement

Patient Compliance

Patient Social and Vocational Needs Questionnaire

Financial Agreement

Patient Questionnaire

Authorization to Release Medical Information


ALL REQUIRED REGISTRATION FORMS
Andover
Physical Therapy
Registration Forms
Patient Registration

Summary of Our Notice of Privacy Practices

Notice of Privacy Practices Acknowledgement

Patient Compliance

Patient Social and Vocational Needs Questionnaire

Financial Agreement

Patient Questionnaire

Authorization to Release Medical Information


ALL REQUIRED REGISTRATION FORMS
Ham Lake
Physical Therapy
Registration Forms
Patient Registration

Summary of Our Notice of Privacy Practices

Notice of Privacy Practices Acknowledgement

Patient Compliance

Patient Social and Vocational Needs Questionnaire

Financial Agreement

Patient Questionnaire

Authorization to Release Medical Information


ALL REQUIRED  REGISTRATION FORMS
Isanti
Physical Therapy
Registration Forms
Patient Registration

Summary of Our Notice of Privacy Practices

Notice of Privacy Practices Acknowledgement

Patient Compliance

Patient Social and Vocational Needs Questionnaire

Financial Agreement

Patient Questionnaire

Authorization to Release Medical Information


ALL REQUIRED REGISTRATION FORMS
St. Francis
Physical Therapy
Registration Forms