November 16, 2011

Forms


To stream-line your registration, we offer our forms online so you can print the forms and fill them out prior to your first scheduled appointment.  Unless otherwise noted, all forms below are required by all clients being treated at Black Diamond Physical Therapy.

Patient Intake – Fill out this form and submit online.

Patient Medical History – Fill out this form and submit online.

HIPAA Privacy Policy – Review this form and keep for your personal records.

Identity Protection – Review this form and keep for your personal records.

Make sure to bring these completed forms, your prescription, your insurance card, and a government issued ID to your first appointment.  Also be sure to bring comfortable clothing.  If you have any questions, contact us.

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