Forms

GROUP PROGRAMS

Want to join our group programs?

  1. Have your neurologist or internist complete the "doctor approval" form

  2. Complete the "waiver agreement" and "medical history" forms

  3. Let us know,  if have you done any physical therapy in the last 6 months 

    •        If yes, please contact us to inform us of the reason

    •        If no, please go on to step 4

  4. Contact us to set up a Wellness Assessment or PT booster in order to determine if any steps/precautions need to be taken to prepare you to join!

Pdf icon - Click here to download/open a Medical History form.
Pdf icon - Click here to download/open a Medical History form.
Pdf icon - Click here to download/open a Medical History form.

PHYSICAL THERAPY

New to Physical Therapy?

To make the process easier, you can download the required new patient paperwork, complete it at home, and bring it with you to your appointment. If you are unable to do so, please plan to arrive 15-20 minutes prior to your first visit to complete the forms.

 

Contact Dr. Michael Braitsch, PT, DPT for more information.

Pdf icon - Click here to download/open a Medical History form.

DESIGNED & CREATED BY DUY HUU BUI

PROPERTY OF TRIBE WELLNESS LLC @2020

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