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New Patient Forms

Click on the PDF icons below to download and print forms. If you are unable to download forms, please come to your first visit 10 minutes early to complete them at the clinic.

Note: Focus PT will be moving to 901 NW Carlon Ave., Suite 3 in Bend on January 28, 2008. Directions

Please bring completed forms along with your insurance card to your initial visit with Focus Physical Therapy. Copays and deductibles are due at the time of service.





Download PDF File
 
Patient Registration
New Patients Need These Forms
If you are unable to download forms, please come to your first visit 10 minutes early to complete them at the clinic.




Download PDF File
 
Financial Agreement & Insurance Verification Forms
New Patients Need These Forms
If you are unable to download forms, please come to your first visit 10 minutes early to complete them at the clinic.




Download PDF File
 
Notice of Privacy Practices
Please Review Carefully and
Print A Copy For Your Records
This notice describes the procedures and practices that this clinic and its professional, support and administrative staff follow to protect the privacy of your health information.




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