Patient
Forms

Want to reduce the amount of paperwork required at your first visit?

Download and fill out the forms (1-3) below, then bring them with you to your first appointment.

The receptionist and physical therapist will go over all the forms with you, so please fill them out to the best of your ability.

This form provides us with your personal and insurance information.

This form provides us with your a detailed history of your medical background and information regarding your current problem.

(TO READ ONLY – do not print)

** Please arrive 15 to 20 minutes prior to your appointment as a few additional forms must be completed. 

The paperwork varies based on  your injury type and insurance provider. 

“Best PT in Richmond! Everything is transparent and smooth. Most importantly my injury has improved dramatically.”

A.

Richmond Physical Therapy

“I've been to a few different PT groups in the area and this is by far the best one. Everyone is very nice, nonjudgmental, and knowledge. Definitely recommend!”

Erica M.

Richmond Physical Therapy

“I am lucky that my doctor referred me to Richmond Physical Therapy because I have now been a patient there twice. The atmosphere is very friendly, the therapists are top notch, good listeners and coaches. Working to come back from an injury can be tough at times and this team really helps you through it.”

Caley C.

Richmond Physical Therapy