Instructions
We welcome you to TEAM Physical Therapy. Below are the forms that you will need to fill out and bring in with you to your first session with us. The forms are in Adobe PDF. (You will need the Free Adobe Acrobat Reader in order to view these forms. If you do not already have it, you can download it for free from Adobe here.) All of the forms are interactive, fillable forms. Just fill in the required information, click the Print button at the top of each page, and bring them with you when you come to TEAM.
Along with these forms, we ask that you bring your Driver's License (or other Federal Issued I.D.) and Insurance Card.
Cash Patient
 Team Physical Therapy: Welcome
Non-Industrial Injury Patient Information
Notice of Privacy Policies and Practices
Referral Questionnaire
Medicare Patient
Team Physical Therapy: Welcome
History and Physical
Notice of Privacy Policies and Practices
Medicare Patient Assessment
Non-Industrial Injury Patient Information
Referral Questionnaire
Lien Patient
Team Physical Therapy: Welcome
History and Physical
Notice of Privacy Policies and Practices
Personal Injury Lien
Non-Industrial Injury Patient Information
Referral Questionnaire
Sports Injury Screening
Team Physical Therapy: Welcome
Minor Consent Form
History and Physical
Notice of Privacy Policies and Practices
Sports Injury Screening Information
Non-Industrial Injury Patient Information
Referral Questionnaire
Private Patient
Team Physical Therapy: Welcome
History and Physical
Notice of Privacy Policies and Practices
Non-Industrial Injury Patient Information
Referral Questionnaire
Workers Compensation
Team Physical Therapy: Welcome
History and Physical
Notice of Privacy Policies and Practices
Industrial Injury Patient Information
Referral Questionnaire
Spanish Forms
Bienvenido a TEAM Physical Therapy
Informacion del Patient No Industrial
Cuestionario de Referencias
Derecho de Retencion de Dano Personal
Aviso Sobre Polizas de Privacidad y Practicas
Historia Medica
Cuestionario de Riesgo de Caidas
Preguntas y Respuestas Sobre Danos Fisicos en Deportes
Informacion del Paciente Industrial
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