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Patient Forms

HealthQuest Physical Therapy and Medical Fitness looks forward to having you join our host of satisfied patients. Once you have made your initial appointment, you may pre-register online by completing the interactive forms below, or you may download and print the forms, fill them out and bring them with you to your first visit. Completing the forms prior to your visit will help speed up the new patient registration process.

Be sure to bring your identification, insurance card plus any X-rays, MRIs or other test results that may have been ordered or performed by your physician.

New Patients (Pre-registration forms):

You may complete your form online and submit it securely by clicking on the link below. All of your information is sent using SSL and is completely secure.Then the link right below.

If you prefer to print your forms and fill them out by hand and bring them in on your first visit, click on the links below. It may take a few moments to download depending on the type of Internet service you have.

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. 

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