New Patient

Thank You for choosing Clarkston Physical Therapy! Please complete the Patient Intake Information Forms (Including your insurance information) and the Patient History form and bring them with you to your first appointment. Please arrive 10-15 minutes early for your first appointment.

 

Review HIPPA Notice of Privacy

New Patient Forms 

*If you do not have insurance benefits please complete the Self Pay Agreement and include it with your other Intake Information and bring it with you to your first appointment also.

*If you have been involved in an automobile accident and we are billing 3rd  party you should complete the Medical Lien by taking it to your attorney. You and your attorney must sign and date the document. Please note that the document will not be accepted if it is altered. Please bring this with you, along with the other intake information to your first appointment. We will not bill for 3rd  party without the Medical Lien signed and dated.

*If you have any questions please call us at  (509) 751-1780