Powers Physical Therapy, LLC
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Powers Physical Therapy will be closing December 1st, 2020
Forms for New Patients
For Medicare Patients ONLY
:
For Non-Medicare Patients:
Medical History Forms
Medical History
Patient Registration Form
Patient Registration
Patient Registration Form
Patient Registration
Consent and Financial Policy
Consent and Financial Policy Form
Optimal Instrument Form
Optimal Instrument
Consent and Financial Policy
Consent and Financial Policy Form
Medical History Forms
Medical History
Privacy Practices
HIPPA Statement
HIPPA Statement
PDF versions of new patient forms can be downloaded from the desktop site