Become Our Patient
Thank you for your interest in Home Physical Therapy for Seniors. To become
our patient, a prescription for physical therapy from your physician is
required. If you do not already have one, we can contact your doctor for you to
request one.
Call
866-4-HOME-PT | OR Click Here
to request an appointment online. |
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Once you have made your initial appointment, you can pre-register by clicking
on one of the links below to fill out a New Patient Registration Form. Our
interactive form is secure to protect your privacy. Simply complete the
information and submit. As an alternative, you may download, print, and complete
the form prior to your therapist’s arrival. This will expedite the new patient registration process so you can begin treatment sooner.
Please note: It may take a few minutes to load the forms if you are using a dial-up Internet Connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.
