Physical therapy intake

A new-patient packet for physical therapy and wellness practices, in the clinic or in the home: health history and goals, consent to treatment, a confidentiality & privacy acknowledgment, and a payment & cancellation policy — sent ahead so the first visit starts with treatment, not a clipboard.

Physical therapy intake

Health history & goals, consent to treat, privacy & payment policy.

✓ 4 forms · one link · one completion

Prefer paper? Print the whole packet

Download all 4 forms as one PDF or Word file — free, no account. When you're ready, send the same packet as a link and nobody retypes a clipboard.

What's included

Health history & goals — What brings you in, and what you want to get back to
Consent to treatment — Evaluation & treatment plan
Confidentiality & privacy
Payment & cancellation policy