3920 North Union Boulevard, Suite 160 Colorado Springs, Colorado 80907

(719) 471 - 4221 Call Now

Patient Forms

Save Time! Our initial paperwork provides us with important information about you and your condition. We offer these forms online so you can complete it in the convenience of your own home. If you are unable to complete your paperwork ahead of time, please arrive at least 15-30 minutes prior early, to ensure you get the full amount of time with the physical therapist on your first visit.

Please contact our office for information on opening the downloadable documents.

Document Name



Personal Injury (PI) Paperwork Optima
New patient forms for auto accident/personal injury patients
Workers Compensation (WC) Paperwork
New patient forms for workers compensation patients
General Insurance (GI) Paperwork
New patient forms for health insurance patients
Personal Pay (PP) Paperwork
New patient forms for personal pay/no insurance patients
Range of Motion (ROM) Paperwork
New patient forms for range of motion referrals
Notice of Privacy Practices
A written notice of all privacy practices used in our office, as required by HIPAA
Exit Survey
Please take our Exit Survey and let us know how to serve you better