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Clients

At Peak Motion Physical Therapy, we are all about you!

To make your appointments easier and lessen wait time, we have uploaded all the forms you may need as a patient at Peak Motion Physical Therapy.  

For your convenience, we've given our patients the option to pay online.  To pay your outstanding balance, please click the link below!

Forms

New Patient Intake Forms

We know how busy life can be. Save time at your appointment by filling out the forms at home! Print and complete, and be sure to mention you have your forms ready when you make your appointment!

Our intake form is required for all new patients. Please fill out the 2 page form as completely as possible, print, and bring to your first appointment.

Personal & Contact Information

Patient Medical History

Credit Card on-file Policy

Informed Consent to Treat

Informed Consent (for minors)

No-show policy

Intake form for minors - please complete and bring to your appointment.

The Health Insurance Portability and Accountability Act is a US law designed to provide privacy standards to protect patients' medical records and other health information provided to health plans, doctors, hospitals and other health care providers. Please bring this sheet signed to your first appointment.

Your Rights as a Patient (HIPAA Explained)

If you require Peak Motion to share your Private Health Information with an outside provider, insurance company or any outside entity, please fill out the Medical Records Release


Pay Online



Pay your outstanding balance online, using your Paypal account or a credit card. Click below to open the window.



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