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Downloadable Patient Forms for Physical Therapy Partners, Inc in Columbia, Maryland

Exercise Room at Physical Therapy Partners, Inc in Columbia, Maryland

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First Visit

As a courtesy, we have provided our patient forms on this website. Please download, print and complete appropriate forms and bring them with you to your scheduled appointment. As an alternative, if you would like a copy of these forms mailed to you prior to your appointment, please call our office. 410.884.4111.

Please allow approximately 60 - 90 minutes for initial evaluation and 45 - 90 minutes for follow up sessions.

Arrive 30 Minutes Early for your Initial Evaluation

Please bring the following on your first visit:

  • Insurance Card(s)

  • Driver’s License or photo ID

  • A prescription or referral if required by your insurance company.

  • Comfortable clothes so that the therapist can evaluate the injured area. Please consider wearing or bringing shorts if treatment is required for any part of the leg or a sleeveless shirt or tank top if treatment is required for the shoulder, neck or upper back regions.

  • A list of your medications that includes the name of the medication, the dose, the frequency and the route of administration. This includes all medications, supplements, vitamins and herbals. If you would like a blank medication list to print out and fill in, see the link below in Additional forms.

To save time:

The following forms need to be completed before we can begin treatment. To save time on your first visit, these forms can be accessed from the links below. Simply print each PDF form, fill in the information and bring them along with you to help expedite your first appointment.

Required forms for you to complete:

  • Consent Form
    Please PRINT, complete, review, sign and BRING TO FIRST APPOINTMENT.

  • Medical History Form: Medication Section MUST be completed
    Please PRINT, review, sign and BRING TO FIRST APPOINTMENT.

  • Medication List: Use if needed for additional space to list medications
    Please PRINT, complete, review, sign and BRING TO FIRST APPOINTMENT

 

Additional forms for your reference:

 
 

CLICK HERE to download FREE ADOBE READER

Click here to download FREE ADOBE READER

Medical Arts Building, 11085 Little Patuxent Pkwy, Suite 207  •  Columbia Maryland  21044  •  410.884.4111  •  info@PTP4me.com

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