Intake Form
Intake Form

At FYZICAL Therapy and Balance Centers (Midvale), we want to maximize your time with us. Prior to your first visit, please print and fill out the New Patient Registration Form below, and bring it with you to your first visit along with your insurance information and photo ID.

New Patient Registration Forms

Sign up for newsletter
Please wait...
Thank you for signing up.
You have been added to our newsletter list.
Yes, I would like to receive newsletters from FYZICAL Midvale.

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

Corporate Home