Mission Viejo Physical Therapy and Personal Training
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(949)598-9315
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.