New Patient Forms
Thank you for choosing ProActive PTS! We look forward to working with you. For your convenience, we’re providing our patient forms below. To help expedite your first visit, please download, print and complete the applicable forms and bring them with you for your first visit. If you choose to fill out the packet in office, please arrive 30 minutes early to allow enough time to complete the forms before your scheduled appointment time.
General Physical Therapy Forms
- ProActive Physical Therapy Specialists - New Patient Paperwork
- ProActive Physical Therapy Specialists - New Patient Paperwork Work Comp / Auto Accident
- ProActive Physical Therapy Specialists - New Patient Paperwork Self Pay
- ProActive Physical Therapy Specialists - New Patient Paperwork Medicare
- ProActive Physical Therapy Specialists - Medical History Form
- ProActive Physical Therapy Specialists - Medication List Form
- ProActive Physical Therapy Specialists - Medical Records Release Form
- ProActive Physical Therapy Specialists - Medicare Secondary Payer Form
Additionally, our notices are available for review below:
- ProActive Physical Therapy Specialists - Notice of Privacy Practices
- ProActive Physical Therapy Specialists - Nondiscrimination Notice
- Limited English Proficiency – Oregon
- Limited English Proficiency – Washington