In an effort to expedite the registration process at your first visit, please click on each of the forms below. Some only require you to print and sign and others, such as the Patient Registration form, require you to type in your information and print.
Please complete and print these forms to bring to your first visit:
General Documents
Credit and Payment Policy [pdf]
Genetic Privacy Notice [pdf]
Credit and Payment Policy [pdf]
Genetic Privacy Notice [pdf]
HIPAA Consent [pdf]
Medical History[pdf]
Patient Registration [pdf]
PMG Authorization to Release Records [pdf]
Physical Therapy
PT Credit and Payment Policy [pdf]
Cancellation Policy [pdf]
Medical History [pdf]
Pain Diagram [pdf]
PT HIPAA Consent [pdf]
PT HIPAA Notice of Privacy Practices[doc]
PT Credit and Payment Policy [pdf]
Cancellation Policy [pdf]
Medical History [pdf]
Pain Diagram [pdf]
PT HIPAA Consent [pdf]
PT HIPAA Notice of Privacy Practices[doc]