Forms
New Patient Registration Forms
Insurance provider List
Patient Survey
FAQs
MOTOR VEHICLE ACCIDENTS
Submit A Testimonial
Contact Us

 

  
These forms utilize Adobe Acrobat,
please click here to download viewer:

   

New Patient Registration Forms
New patients, please print and fill out the forms below and bring them with you on your initial visit.

- Patient Registration Form

- Patient Health History

- Patient Responsibilities
- Assignment of Benefits and Financial Policy
- Authorization for Treatment

- Medical Records Release
- HIPAA Notice of Patient Information Practices

- Treatment Authorization for Non-guardians


Motor Vehicle Accidents/Liens Forms
Click here to download the forms needed to process a motor vehicle accident.

Insurance Provider List
Click here to download a current copy of the Spooner Physical Therapy Insurance List.

 

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