Patient Forms

No-Show/Late Cancellation Form

ProPT

 

In Physical Therapy consistency is paramount to the progress and success of your recovery. PRO PT will make every effort to provide you with appointments that work with your schedule. With this in mind our office upholds strict cancellation and “no-show” policies.
 
“No-showing” for an appointment is considered non-compliant with the care your physician and Physical Therapist have prescribed and as such you may be discharged from our facility.

New Patient Contact Information

​ProPT

The New Patient Information Form MUST be competely entirely and given to our staff in order to process your insurance needs and to help ensure proper coverage is provided.

 

Please feel free to ask our staff any questoins you may have about this form.

History and Physical Questionaire
ProPT

The following information will be used to establish a Physical Therapy treatment plan to restore your functional ability. All information is considered confidential and will only be released with your written authorization.

 

Please feel free to ask our staff any questoins you may have about this form.

OPENING HOURS

MONDAY-THURSDAY

7.00AM-12.00PM and

2.00PM-6.00PM

 

FRIDAY-SATURDAY

​7.00AM-12.00PM

 

ADDRESS

27725 Santa Margarita Parkway, Suite 210
Mission Viejo, CA 92691
jsanpt.propt@gmail.com

Tel: 949-598-9315
Fax: 949-598-9439

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© 2014 Pro PT | Physical Therapy