Download These Important Forms

Patient History Form (97KB)

HIPPA Patient Info Consent (51KB)

. . .

For treatment involving the back:
Back Form (72KB)

For treatment involving the shoulder, elbow, wrist and/or hand:
Upper Extremity Form (96KB)

For treatment involving the neck:
Neck Form (48KB)

For treatment involving the hip, knee, ankle and/or foot:
Lower Extremity Form (340KB)

Patient Forms


To streamline your first visit to the Physical Therapy of North Carolina clinic, please print and fill out these patient forms before you arrive. This way, your time spent with us can focus less on the paperwork and more on your recovery.

Please feel free to contact us if you have any questions about any of the following forms.

 

“Of all the PT experiences I have had, this was the best! This is an incredible practice and the atmosphere is very compassionate and friendly. My PT treated me with experienced and professional care.”
~ Frank O’Neal