New Patient Forms 2018-01-25T04:10:50+00:00

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New Patient Forms

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Thank you for your consideration of Therapy Works, PC. Let’s get started!

Attention Parents/Guardians: This file must be saved to your desktop before and after completing!

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Complete the New Patient Packet (Click on link to launch fillable PDF)
These include the following:

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PATIENT CASE HISTORY FORM (2 pages)

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PATIENT CONSENT FOR USE/ DISCLOSURE OF HEALTH CARE INFORMATION

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BILLING INFORMATION

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ATTENDANCE POLICIES AND PROCEDURES

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IEP/IFSP FORM

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Step 2

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Email this document to referrals@therapyworkspc.com (You will need to sign on your visit)
or
Print out and complete the signature pages. Bring these forms with you to the office for your first appointment.

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