Washington Wellness
HOMEABOUTSERVICESCLASSESNew Patient InfoFAQLINKSCONTACT
 
 

New Patient Information

Below we provide the necessary forms to initiate services for Physical Therapy.
These forms are available in PDF format which you can save, print, and fill out
prior to your office visit.

NEW PATIENT PAPERWORK
Required for all new patients.

Intake Form
Please click here to complete the New Patient Intake Form prior to scheduling an appointment with us.
Download PDF Notice of Privacy Practices
ADDITIONAL NEW PATIENT PAPERWORK
REQUIRED FOR ALL UHC AND AETNA PATIENTS
(in addition to the above forms)

Download PDF SBST Form
Download PDF Patient Summary Form
Please complete only the 1st and 4th sections.

 


We will use these forms to chart your progress with physical therapy to your insurance carrier. Please compete the form that represents the most accurate region of your body that you will be seeking treatment for.

Download PDF Neck
Download PDF Shoulder, Elbow, Hand
Download PDF Back
Download PDF Hip, Knee, Foot and Ankle