457 North Elm St Escondido CA 92025 760.489.1969

Patient Forms

For your convenience, you can download, print and complete your applicable patient forms prior to your first visit. Then bring the completed forms with you when you come in for your appointment. If you choose to fill out your forms at our office, please arrive 10-15 minutes before your appointment to allow time to complete your forms.

  • Patient Forms for First Visit
    Please fill out these forms prior to your first visit and bring them with you to your first visit to better enable us to serve you.
  • Pool Therapy Information
    If your doctor has referred you for pool therapy please refer to this information for frequently asked questions regarding our AquaticTherapy program.
  • Physical Therapy Prescription
    Please have your doctor fill out this form

Our forms above are PDF files, which require the free Adobe Acrobat Reader program for viewing and printing.

Please fill out the online form below so that we can accurately input your contact information into our system. Your information is directly entered into our secured system and will not be released or given to anyone. In addition, please fill out the above paperwork before your first visit to better enable your physical therapist and our staff to serve you.


[Printable Version]

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