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Deer ParkPhysical Therapy & Rehabilitation

Patient forms

Forms: Less paperwork. More recovery.

The last thing you need to worry about before arriving at our office is spending so much time filling out forms. For your convenience, we have made these forms available to you on our website so that you may print and complete prior to your appointment. This way, when you arrive at our office, we will be able to focus immediately on your treatment plan and road to recovery. If you have any questions, please don’t hesitate to ask. We are here to assist.
  1. 1Preview or download each form
  2. 2Print and fill it out at home
  3. 3Bring the forms and your insurance card to your first visit
  • Health Questionnaire

  • Patient Information

  • Consent Form

  • Emergency Contact

  • Privacy Act

  • Explanation of Benefits

Assignment of BenefitsPDF · opens in a new tabOpen PDF

To learn more about Deer Park Physical Therapy & Rehabilitation or to schedule an appointment, please call (631) 940-9800.

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