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.
- New Patient, Commercial Insurance
- New Patient, Medicare Forms
- New Patient, Self Pay Packet
- Workers' Compensation
- EMG Form
- EMG Medicare Form
- Medical & Health Resources Form
- Medical & Health Resources Medicare Form
- Pediatric Rehabilitation at Easter Seals
- Pediatric Rehabilitation Form (English)
- Pediatric Rehabilitation Form (Spanish)