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New Patient Forms

Please fill out the interactive New Patient Health Form and the questionnaire specific to the body part we are examining. Once filled out, save the PDFs and email them as an attachment to forms@athletestrainingcenter.com. If you choose to bring them with you to your appointment, please arrive 20 minutes prior to your scheduled time.

 

IMPORTANT: If you are emailing your forms it is important you save them first and then send them as an attachment, otherwise the form arrives blank.

 

All patients should bring their insurance card and a driver’s license. Please also bring any prescriptions for physical therapy from your referral source (if applicable).

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New Patient Health Form

New Patient Forms, Athletes' Training Center

Knee Pain
Form

form

Back Pain
Form

form

Concussion
Form

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Hip, Leg, and Foot/Ankle Pain Form

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Neck Pain
Form

New Patient Forms, Athletes' Training Center

Shoulder/Elbow Pain Form

New Patient Forms, Athletes' Training Center

Hand/Wrist Pain Form

United Healthcare Patients also need to complete the form below. Please print and bring this form along with your other paperwork.  

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Patient Summary Form