At Back in Motion Physical Therapy, we want to maximize your time with us. Prior to your first visit, please follow the steps below:

In-Clinic or At-Home Visit:

Click on the applicable form below, fill out and submit online.

New Evaluation Form – English / Spanish

Virtual Visit:

Click on the applicable forms below, fill out and submit online.

New Evaluation & Consent Forms

Medicare & Self-Pay Program

Existing Patient Virtual Visit Consent

Notice of Privacy Practices

Notice of Privacy Practices – English / Spanish

Virtual Visit:

Click on the Patient Form that applies to you, fill out and submit online.

First Time or Returning:

Patient Information & Consent Forms

Medicare & Self-Pay:

Patient Self-Pay Program

Currently Being Seen:

Virtual Visit Consent for Treatment

*Note: Based on insurance there may be additional paperwork