Covering the Care We Provide
Forms
Feel free to print the PT Intake and the Office Intake forms, fill them out, and bring them 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. You may review our Patient Bill of Rights in this section as well.
New Patient Packet
Individual Forms
Patient Office Intake Form
Patient PT Intake Form
Patient Bill of Rights
Notice of Privacy Practices
Notice of Privacy Practice Acknowledgement
No Show Policy
Media Release
PHI Release
Request an Appointment
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