Welcome to Adel Physical Therapy
Attached are the registration forms we request you print, complete and bring along to your first appointment.
Please bring your insurance card(s) and a photo ID.
If your physician has given you a written prescription for physical therapy, please bring that as well.
• Patient Registration Form: please complete all sections.
(Adobe Acrobat Required)
• Consent to Patient Intervention: please read and sign.
(Adobe Acrobat Required)
• Patient Medical History: please complete all sections.
(Adobe Acrobat Required)
• Privacy Practices: please read and sign. A more detailed policy is available for review in our office.
(Adobe Acrobat Required)