Covering the Care We Provide

Forms

Feel free to print the "New Patient Packet" form below, fill it out, and bring it with you to your first visit. All the following forms can be provided by the receptionist at Summit Physical Therapy, Inc. and may be completed the day of your evaluation if you would prefer, and will require you to arrive prior to your scheduled visit time.  You may review our Patient Bill of Rights in this section as well.

New Patient Packet

Individual Forms
For your reference only

Patient Office Intake Form

Notice of Privacy Practice Acknowledgement

Patient PT Intake Form

No Show Policy

Patient Bill of Rights

Notice of Privacy Practices

Media Release

Telehealth Consent Form

Request an Appointment

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