Intake Form
Intake Form

Physical Therapy

Please print, fill out, and bring the following forms with you to your first appointment.

General Information

Policies Page

Privacy Policy

Patient History

Medication List

WCOMP Attendance

No Show/Cancellation Policy

Do You Have Medicare?


2 Additional Forms:

Medicare Policy

Medicare Secondary Payer Questionnaire

Electrophysiology - EMG/NCV Testing

Please print, fill out, and bring the following forms with you to your first appointment.

General Information

Policies Page

Privacy Policy

Patient History

No Show/Cancellation Policy

Please bring your new patient paperwork with you at your initial appointment or feel free to fax them to us at 828-369-8760

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Leader in the health and wellness space, providing private practices with business systems, operational support, clinical education, and proprietary technology and protocols. FYZICAL® is actively changing the healthcare landscape by providing patients with wellness programs and clinical care in: Fall Prevention, Orthopedic and Vestibular Rehabilitation

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