Patient Forms

At Light Touch, we want to maximize your time with us. Prior to your first visit, please print and fill out the new patient forms below. Please bring these with you to your first visit, along with your insurance information and photo ID.

 

Patient Forms:

Click the form below to download.
Please print and complete EACH of these forms prior to your appointment:

• New Patient Information
• Initial Evaluation Functional Assessment
• Billing and Appointment Policies
• HIPPA
• Body Assessment/ Pain Diagram

Cancellation and No-show Policy

With the exception of serious emergencies, it is expected that you keep all of your appointments. If you need to reschedule an appointment, we request at least 24 hours notice. Your appointment time is very important to us. If we do not receive a 24 hour notice of your cancellation, it limits our ability to accommodate other patients who may need that time slot. Light Touch Physical Therapy aims to provide the best possible care for our patients. Attending scheduled appointments is a necessary part of your treatment process. Adhering to our cancellation and no show policy is a courtesy to both our staff and other patients who are trying to arrange appointment times.

In an instance of cancellation without 24 hours notice, we reserve the right to charge you a $40 fee which will be required at the next date of service. Payment by cash or check is preferred.

In an instance of a no-show, you will be charged a $40 fee as well. Repeated cancellations and/or no-shows demonstrate a lack of commitment to your healthcare. We understand issues come up that are beyond your control, therefore, late cancellation due to acute injury, illness, family emergency or inclement weather is excluded from this policy.