Intake Form
» Intake Form : Intake Form

Intake Form

FYZICAL Provo 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.

Once you have made your initial appointment, you will receive via email forms to be filled online at a secure patient portal.  Completing the forms prior to your visit will help speed up the registration process. If you struggle with the technology, that's okay. We'll have you fill them out when you arrive. 

Call to schedule your appt and be sure to give them your email address so we can send the forms. For more information, Contact Us Today at Provo, UT Center.

Or fillout this form to have a member of our team call you and schedule.