Clients

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

To make your appointments easier and lessen wait time, please complete the forms below prior to your first meeting.

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

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.

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.

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.

Please fill out the Informed Consent for Physical Therapy Services form and bring to your appointment.

 
Pay Online

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

(605) 717-0337

412 W Jackson Blvd.

Spearfish SD 57783

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