If you're a new patient, please print the New Patient Forms that best describes your problem and bring the completed forms and your Physician Referral/Prescription ** to your first appointment.
- New Patient Forms - Female Pelvic
- New Patient Forms - Male Pelvic
- New Patient Forms - Hip (Male or Female)
- New Patient Forms - Back (Male or Female)
Notice of Privacy Practices - this is for you to review - you do not need to bring this to your appt
Our Office requires a prescription at your first visit.
Although the Texas State Physical Therapy Licensing Board does allow for a short-term treatment by a therapist without prescription (10 consecutive calendar business days), we require a prescription for your first visit in order to provide uninterrupted care for the course of your treatment.
Additional Forms
Blank Prescription / Referral Form
Authorization to Release Medical Information
Note: To download Adobe Acrobat Reader for free, click here.