Physical Therapy · Oro Valley, AZ(520) 389-5311
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Before Your First Visit

Patient Forms

Download and complete your forms before your first visit. It takes about 10 minutes and helps us make the most of your time together.

How it works

1

Download forms

Click the button on each form to open or save the PDF.

2

Print & complete

Print each form and fill it out by hand, or fill in digitally before printing.

3

Bring to your visit

Hand the completed forms to the front desk when you arrive. That's it.

New Patient History Form

Required

Tell us about your health history, current symptoms, and what's brought you in. This helps your therapist prepare before your first visit so you spend more time getting treated and less time filling out paperwork.

Medical history, past injuries, medications, and current complaint~5 min
Download PDF

Medication History

Required

A list of your current medications and supplements. Knowing what you take helps us provide safe, effective care and avoid any potential interactions with our treatment approach.

Current medications, dosages, and supplements~2 min
Download PDF

Cancellation, Payment & Consent Policy

Required

Our practice policies around scheduling, cancellations, and payment — as well as your informed consent to treatment. Please read this carefully and sign before your first visit.

Cancellation policy, payment terms, and consent to treat~3 min
Download PDF

HIPAA Notice of Privacy Practices

Your rights regarding your personal health information and how we handle it. Federal law requires us to provide this document to all patients. Review it and keep a copy for your records.

Your privacy rights and how we protect your health information~2 min to review
Download PDF

Having trouble downloading a form? Call us at (520) 389-5311 and we can help or send forms another way.

Questions Before You Come In?

We are happy to help.

Not sure which forms apply to you, or have a question about your first visit? Give us a call — we will walk you through it.