Intake Form

» Intake Form

FYZICAL 17th & South, looks forward to you joining our FYZICAL family as a new patient.  We are glad you called into the office to set an appointment with us.  

As a new patient, we will be sending you docuements to fill out directly from your phone via text.  Our texting system is called KLARA.  This system is HIPPA compliant (which means all of your information is safe and will not be shared with anyone).  Please read the directions below if you have any difficulties or feel free to call into the clinic, we are here to help!

FYZICAL Lincoln 17th & South - Texting System

1. You will recieve a text from 402-476-6575 (which will look like the following picture)

2. Once you recieve this text - click on the link

3. The link will ask you for your birthday, dd/mm/yyyy

4. You will then see the text from your FYZICAL TEAM.

*You only have to enter your birthday every 30 days*

We look forward to welcoming you to our state-of-the-art facility and providing you the best physical therapy in Lincoln, NE.  Please call us at (402) 476-6575 if you have questions or need assistance!