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.

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.

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.

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.