Patient Documents

Patient Documents

Let's get started

Welcome to Northern Physical Therapy! We’re so glad you’ve chosen us to be your providers. To get started, download and fill out the appropriate documentation below and bring it with your to your first appointment or email it to us. We can’t wait to help you feel great again!

Forms To Fill Out

Patient Documents (fill out both)

Download and fill out both documents below, then return them to your physical therapist at your first appointment, or via email.

Workers Compensation

Download and fill out this document only if you are billing workers compensation. Return the completed form to your physical therapist at your first appointment, or via email.

Symptom Documents (fill out one)

Fill out one of the documents below and return it at your first appointment or via email. If you are being treated for multiple conditions, please select only the document that represents the area where symptoms are the worst.

Important Information

Please arrive 15 minutes early if you are not able to complete the paperwork prior to your first appointment. At your first appointment, please bring your completed paperwork, insurance cards, ID card, and your referral (if your doctor hasn’t already faxed it – please note, this is not needed if you are being treated under Direct Access.) Your first appointment will last approximately one hour. Wear comfortable clothing, that will allow us to easily access the part of your body that needs treatment. If you have additional questions, visit our FAQ page.


We are committed to your ultimate improvement and recovery. We believe in your success and are willing to go above and beyond to help you achieve your goals. We understand you are currently experiencing discomfort and our main goal is to decrease the pain and make you as comfortable as possible and on the road to becoming pain free. Please don’t hesitate to contact us with questions or concerns prior to your first appointment.