For your convenience, we’ve provided our patients forms on our website. To help expedite your first visit, please download, print and complete the forms. Bring them with you when you come in for your first visit. If you choose to fill out the patient form packet at our office, please arrive 10-15 minutes before your appointment to allow enough time to get them completed before your appointment.
Our forms are PDF files. In order to download and print them, you’ll need the free Adobe Acrobat Reader program: iPad/iPhone | Android | Desktop
Private Insurance Physical Therapy Patients
Please download the patient intake forms and the form(s) that pertain to the area we are treating:
- Neck
- Shoulder/Arm/Hand
- Back
- Foot and Ankle Ability Measure (FAAM)
- Hip Outcome Score (HOS)
- Knee Outcome Survey Activities of Daily Living Scale (ADLS)
If the patient is under the age of 18, please also download the Consent to Treat a Minor form.
Formas en Español
Por favor, descargue la forma o formas que pertenecen a la zona que estamos tratando:
Physical Therapy Without a Dr. Prescription
Medicare Physical Therapy Patients
Please also download:
Oxford and The Empire Plan Patients
Please also download:
Government The Empire Plan Patients
Please also download:
HIP Insurance Patients
Please also download:
Notice of Privacy Practices
All patients, please download:
- Notice of Privacy Practices (English)
- Aviso de Prácticas de Privacidad (Español)
Fitness and Personal Training Clients
Massage Clients
If you have any questions or need assistance please feel free to contact us at (516) 623-4388. You may also go to our FAQ page and listen to the short clip on what to expect on your 1st visit.