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 15 minutes early to complete them at the clinic.

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.

Patient Registration All New Patients Need These Forms If you are unable to download forms, please come to your first visit 15 minutes early to complete them at the clinic.

Add'l Form: MVA New Patients Who Have Been in a Motor Vehicle Accident Need This Form If you are unable to download forms, please come to your first visit 15 minutes early to complete them at the clinic.

Add'l Form: Worker's Comp New Worker's Compensation Patients Need This Form If you are unable to download forms, please come to your first visit 15 minutes early to complete them at the clinic.   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.