Personalized care thats gets results!

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Patient Registration Forms


Maximize your first visit

Please fill out the patient registration forms provided below prior to your first appointment. If you have any questions or need assistance, call us at 814-861-8122 or contact us.

REQUIRED FORMS

OTHER FORMS

step by step instructions to use our forms on this page

use your computer

TECH SAVY EH?

It's easy....

  1. Click on the file name.
  2. Fill in the form on your screen using your computer.
  3. Make sure you have completed all pages.
  4. Print out your filled in form.
  5. Bring completed form, insurance card(s), and photo ID to initial appointment.

Congratulations, you're now officially ahead of the game!

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use a pen

Thanks for doing your paperwork in advance!

Using Our Forms
  1. Click on the file name to open.
  2. Print out form.
  3. Find a pen and get to work :)
  4. Bring completed form, insurance card(s), and photo ID to initial appointment.

Consider yourself one step ahead of the game!

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Maximize Your First Visit | Complete your registration forms

Filling out the required patient forms below prior to your first visit insures the maximum time you spend with our physical therapists. A great first visit sets the foundation for exceptional outcomes and results. We look forward to getting you back to all that you want to do!
-- Jim Bennett, MPT, Director of Outpatient Services