Patient Forms

Fill Out Your Paperwork In Advance

Please fill out the (1) Initial Patient Intake Questionnaire and (2) Review the Privacy Practice Notice in advance of your session so we can maximize our time together.

If you plan to complete and submit your Intake Questionnaire on your computer, use the Fillable Word Document here:

If you prefer to print a PDF copy, complete by hand, and submit your Intake Questionnaire electronically or in person, find the PDF here:

Review My Restorative Physical Therapy’s Privacy Practices/ Policy Here. Signature is Collected on your Intake Questionnaire. Updates for Version 2.0 made to include Telehealth physical therapy services.

Consent Addendum for Telehealth Physical Therapy Services. For current and former patients who wish to transition to Telehealth care.