Intake Form

» Intake Form


Click or tap the buttons below to download our intake forms in your preferred language


FYZICAL Bella Vista looks forward to having you join our host of satisfied clients, welcoming you to our state-of-the-art facility, and providing you with excellent physical therapy.

Once you have made your initial appointment, you may download and print the forms, fill them out, and bring them with you to your first visit. Completing the forms prior to your visit will help speed up the registration process.

We're excited to announce that we're opening a new clinic in Rogers, AR in January 2024. We're now accepting new clients for this location.