New Patient Physical Therapy Forms

If you are scheduled for an appointment, please complete your paperwork in advance by downloading and printing out the below forms. Included in these forms is a waiver for Telehealth services to ensure continuity of care if this service is required at any time during your therapy. 

• Click to print Physical Therapy patient intial evaluation forms
• Click to print the Dizziness Handicap Inventory (DHI) form (Vestibular patients only)

Good Faith Estimate for Health Care Items and Services

If you are a patient who is uninsured or who will pay out-of-pocket because we do not accept your insurance, you can review our private pay rates in the Good Faith Estimate document below.

• Click to view Gordon College CBMW Good Faith Estimate