Paperwork

Thank you for Choosing Therapy Solutions for your rehabilitation needs. After the forms are filled out you may e-mail them directly to frontdesk@therapy-solutions.us.

Your insurance card and a photo ID are also required for your file, please bring those in on your initial visit. When you arrive sign in at the front desk and the receptionist will provide you with paperwork to sign. Thank you again!

For Every Patient

• Welcome Sheet
• Patient Questionnaire

Please choose the best form below for the reason you are coming to see us:

• Back Index
• Neck Index
• Pelvic Floor (Female)
• Pelvic Floor (Male)
• Disabilities of the Arm Shoulder or Hand
• Upper Extremities
• Lower Extremities
• Mental Health

* All forms are in Adobe Acrobat (PDF) format.