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Patient Forms

At Houghton Physical Therapy & Sports Conditioning, we want to maximize your time with us. Prior to your first visit, please fill out the new patient forms below. We will need your registration, medical history form, insurance information, photo ID, referral, prescription, and adjuster’s name. You can either bring all this information with you or upload it using our NEW ONLINE portal.

Be sure to arrive 30 min early if you have not been able to complete your paperwork ahead of time. If you have your registration, medical history and list of medications completed we ask that you arrive 15 minutes early to allow our office to prepare for your evaluation to start on time. We value your time and want you to have an exceptional PT experience.

We now have the option for you to fill out your form online and it will be uploaded to our system, or print it out and bring it with you. Please choose one of the options below:

New Patient Registration and Medical History – ONLINE Form


New Patient Registration and Medical History Form – PRINTABLE Form

For more information about HIPAA and how we protect the confidentiality of your personal information see our HIPAA Privacy page.