New Patient Forms

 

Thank you for choosing HPRC Physical Therapy!  We look forward to working with you. For your convenience, we’re providing our patient forms below.  To help expedite your first visit, please download, print and complete the applicable forms and bring them with you for your first visit. If you choose to fill out the packet in office, please arrive 15 minutes early to allow enough time to complete the forms before your scheduled appointment time.

EMG Forms

• EMG Form
• EMG Medicare Form

Alabama Forms

• Medicare Auburn
• Auburn PT Form

Georgia Forms

• Medical & Health Resources Form
• Medical & Health Resources Medicare Form
• Pediatric Rehabilitation at Easter Seals
• Pediatric Rehabilitation Form (English)
• Pediatric Rehabilitation Form (Spanish)
• St. Francis New Patient Packet
• Stockbridge Commercial Intake Form
• Stockbridge Medicare Intake Form

South Carolina Forms

• Lexington Medicare Form
• Lexington PT Form

Conyers Formerly Therapeutic Solutions Form

• Conyers Formerly Therapeutic Solutions Patient Form