Patient Forms

Because we are dedicated to providing you the best physical therapy solutions, we are now making our patient forms available online for downloading and printing. Below are the links to all of the forms that are required prior to your appointment as well as a few other forms/documents. Simply click on the link, print the form using your printer, and fill in the appropriate information, and you're on your way to an even more convenient appointment.

To view these forms, you will need Adobe Reader. Please download the appropriate software necessary so that you can print and fill out your forms prior to your first appointment.

New Patient Required Forms

Financial Policy / Consent to Treat

Intake Form

HIPPA Summary Notice

Notice of Privacy Practices

Summary Notice / Written Acknowledgement of Receipt

Other Forms/Documents

Medical Record release to OST

Medical Record release to PATIENT or OTHER FACILITY/AGENCY

Medicare Disclaimer

As a recipient of Federal financial assistance, Orthopedic & Spine Therapy does not exclude, deny benefits to, or otherwise discriminate against any person on the ground of race, color, or national origin, or on the basis of disability or age in admission to, participation in, or receipt of the services and benefits under any of its programs and activities, whether carried out by OST directly or through a contractor or any other entity with which OST arranges to carry out its programs and activities.