Physical Therapy Forms in Austin, Texas

PT Forms

Please complete and bring the following forms to your first appointment. You may also email or fax these documents to us prior to your appointment.

1.

Health History
2.

Registration Form
3.

Notice of Privacy Practices
4.

Consent to Treat
5. Functional Screens: (please select the most appropriate form for your condition)

Neck

Shoulder / Arm

Low Back

Lower Extremity

Be sure to bring your photo ID, insurance card, and PT prescription.

E-mail: drhousept@outlook.com
Fax: 512-533-0003

For Physician Offices:

Outpatient PT Prescription Form


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