Back On Track Physical Therapy | New Patient Information



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	Home About Us Mission Statement Meet Our Staff Testimonials Insurance Back on Track Merchandise New Patient Forms Pain Management Overview Arthritis Back & Neck Pain Chronic Pain & Fibromyalgia Individual Treatment Plan Orthopedic Injuries Repetitive Stress Injuries Stroke & Neurological Rehab Surgical Rehabilitation Traumatic Injuries Work Injuries Aquatic Therapies Aquatic Therapy The Burdenko Method Warm Water Therapy Therapy Guidelines [pdf] Information Sheet [pdf] Manual Therapies Craniosacral Therapy Integrative Manual Therapy Myofascial Release Visceral Mobilization Therapy Movement Therapies Balance & Gait Disorders Nordic Pole Walking Performing Arts Injuries Pilates Sports Injuries Surgical Rehabilitation Other Therapies Ergonomics Functional Movement Training Hand Therapy Neuromuscular Therapy Physical Modalities Pilates Torticollis & Pediatric Rehab Vestibular Rehabilitation Wellness Programs Work Injuries Web Resources Satisfaction Survey Ask A Therapist Employment Locations		New Patient Information At Back On Track, we pride ourselves on providing a caring, understanding, and comfortable environment for healing. Our mission is to help make life better for the patients referred to our care. We want you to get “Back on Track” and free from pain and disability. Please fill out any applicable forms below to help us begin your treatment as soon as possible. Intake Questionnaire [pdf] New Patient Questionnaire [pdf] Minor Consent Form [pdf] Minor Consent Form [pdf] - en Español Medicare Patients Only Home Health Care Waiver [pdf] WC/MVA Patients Only Group Health Insurance Affidavit/Waiver [pdf] Group Health Insurance Affidavit/Waiver [pdf] - en Español Assignment, Lien [pdf]

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