Downloadable and Fillable Forms
Below are some links where new, current, and previous patient can download and fill out. It is a PDF file where anyone can type on the forms, save, and print out. Just click on Download English or Download Espanol. The page will change to the corresponding forms. You can then save or print it afterwards.
Medical History Form
This form is vital that we get the correct information about your medical history so that PTHC’s Physical Therapists can make proper evaluation, consultation, and proper planning for your treatments.
Finance Policies
Please read, review, and sign this as it is required by PTHC staff in order to start your initial evaluation and follow up treatments. This form can clarify all questions regarding future billings as who is responsible for payments initially and later on.
Patient Information Practices
Please read, review, and fill out this form as it is required by PTHC staff to start your initial and follow up treatments. This form provides information on disclosure, patient individual rights, concerns and complaints, and patient information acknowledgements.