Intake Form

» Intake Form :

FYZICAL Hagerstown/Waynesboro looks forward to having you join our host of satisfied clients. Without you there can be no triumph. Because physical therapy without the client is intent without involvement. However inspired, it is like rain without water, only a hope. Because you Love Your Life, your independence, your day…we exist.

We look forward to welcoming you to our state-of-the-art facility and providing you the best physical therapy in Hagerstown, MD.

Once you have made your initial appointment, you may pre-register online by completing the interactive forms below, or you may download and print the forms, fill them out and bring them with you to your first visit. Completing all section of the forms prior to your visit will help speed up the registration process.  There may still be a few papers to complete at the office so please arrive 15-20 minutes early for your appointment.

Downloadable Forms:

Patient Registration Form

Medical Intake Form