New patients at Union Physical Therapy must complete several forms in order to establish your medical record and begin treatment. We invite you to download and complete these forms prior to your first appointment to make the check-in process easier. As a reminder, please book your initial appointment and at least 2-3 follow up appointments.

General forms to complete:

Intake Forms

Area specific forms to complete:

Only the form(s) related to your issue(s) area(s) are needed

Complete for arm, shoulder and hand related problems

Complete for dizziness related problems

Complete for lower extremity related problems (hip, legs, ankle, etc.)

Complete for lower back related problems

Complete for neck related problems

*Please print and bring copy of completed forms with you to your first appointment. These forms are available in the office and take an average of 15-20 Minutes to complete.

If you have questions  or need help completing the forms please contact our office at 206.588.0855.

You can read our HIPAA and Informed Consent policies below:


Informed Consent

Share on Facebook