Impact Physical Therapy
First Time Patients

Welcome New Patients

In order to assure patient consistency with your scheduled Physical Therapist and accommodate your scheduling needs, we recommend that you bring your calendar or work schedule with you to your first appointment. This will ensure that you are seen by the same Physical Therapist and it will help expedite your patient care. Thank you.

Below is PDF our New Patient forms. To expidiate your appointment, please fill out and bring this form with you to your first appointment.

 

Women's Health Care Issues

If you are seeing us for a women's health care issue, please also fill out and bring in the following form

 

Medicare Patients Only

If you plan to use Medicare, please fill out and bring in this following form





Billing Source, Inc. Billing Source Inc.: Making Billing Simple, Cost Effective Easy for Small Medical Practices...like yours!