Patient Forms

For your convenience, we have made commonly used patient registration forms available for printing. Please bring completed forms to your first visit. We ask that you come twenty minutes prior to your first appointment time to allow for data entry. Feel free to come earlier if you have any questions about the forms.

Patient forms


*Please print all 5 forms for Registration*


Patient Registration Form

Medical History Forms


Financial Policy


Referring Information Form


Accident, Incident, Injury Report


Complete only if scheduled to see a hand therapist


Hand Therapy Form


Hand Therapy - Medicare Coverage Information



Release of Records


Authorization to Release Healthcare Information - Records are typically sent out within one week from receipt of signed release.


Payment Portal - Sign up for e-Statement and/or view previous statements and payments using this portal:

schedule an Appoinment

206.292.6252 or 800.888.6252