Intake Form

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New Patient Information & Workman’s Compensation Forms

Prior to your first appointment, please open, print and complete these information forms. Bring them with you so that we can serve you more efficiently.

Thank you!

PATIENT FORMS:

MD FORMS:

The above forms are pdf files and require Adobe Acrobat Reader to open and download. If you don't have Adobe Acrobat Reader installed on your computer, click on the above graphic to download this free player.

After completing these forms you may do one of the following:

  1.   Email to juanita.santos@fyzical.com
  2.   Fax them to 830.249.4698
  3.   Mail them to:

FYZICAL Therapy & Balance Centers

C/O Benefits Coordinator
1411 South Main Street, Suite 102
Boerne, TX 78006

Thank you!