Intake Form

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FYZICAL of North Dakota looks forward to helping you achieve your wellness goals!

We look forward to welcoming you to our state-of-the-art facility and providing you the best physical therapy. Once you have made your initial appointment, you may pre-register by completing the fillable forms below and bringing them with you to your initial appointment. Completing the forms prior to your visit will help speed up the registration process.

DOWNLOADABLE FORMS:

Patient Registration Form

Medical Intake Form