About Us       Services       Insurance Info       Testimonials       Locations       Patient Survey       Careers       Contact Us

Patient Forms

To save time at your first appointment, the below documents can be printed and completed prior to your initial evaluation appointment.   If you have any questions about how to complete these forms, please contact a member of our team at (630) 434-0271 x224.

  1. New Patient Demographic Information: All new patients to Doctors of Physical Therapy should complete this form to provide our staff general contact information and insurance information.  Patient signature is required on the form.
  2. Medical History Form:  New patients should complete this form to provide our therapists with specific and relevant information about your medical history.  Patient signature is required on this page.
  3. Doctors of Physical Therapy Policies: This document outlines some of our clinic policies and procedures, including financial policies, cancellation policy, and consent for treatment.  These policies should be reviewed and a patient signature on the final page of the document acknowledges your understanding of our practices.
  4. Doctors of Physical Therapy Privacy Policy: This document is for your review, and does not need to be signed.  It includes information about our clinic privacy practices.

We look forward to seeing you soon!!

Copyright © 2006 Doctors of Physical Therapy. All rights reserved. Design by NetSource.