New Patient Forms

If you are coming to one of our clinics for the first time, please complete the forms below to save time at your first visit. We look forward to serving you!

Medical History Form

Physical Therapy Consent Form

24 Hour Cancellation Policy:
Revitalize Physical Therapy enforces a 24-hour cancellation policy for all appointments.  In order to reschedule your appointment you must notify a Revitalize Team Member as soon as possible to avoid being CHARGED for the missed appointment.  By calling or emailing ahead, you allow for us to reschedule another patient in that spot.  Thank you for accommodating this request.