Intake Forms For Physical Therapy Patients

Please contact our office to schedule an appointment.

Texas state law requires that you have a referral for physical therapy from your physician, nurse practitioner, physician assistant, chiropractor, osteopath or dentist. Please make sure you obtain one before your appointment. Print and bring in your completed New Patient Intake Forms or fax them to our office. This step will save you time on your initial visit. To fill out the New Patient Intake Form, click the New Patient Intake Form link and a browser window will open. From there, fill out the form and click on the 'Submit by Email' or 'Print Form' Button on the form. The Body Chart will have to be printed to fill out and either faxed or brought with you to your appointment.