To help save time at your visit to  Peak Physical Therapy, P.C.we suggest that you print out the applicable forms from the list below and bring the completed form with you.

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Please fill out the following forms for ALL patients:

Appointment Policy & HIPPA

Medical History

Financial Policy

Please fill out the following according to the body part/parts being treated:

Quick Dash (Upper Extremity)

Lower Extremity

Back

Neck

If you have The Empire Plan or Oxford insurance plese fill out the following according to the body part/parts being treated:

Dash (Upper Extremity)

Lower Extremity

Back

Neck

If your injury was a result of a car accident please fill out the the following additional form:

New York Motor Vehicle No-Fault Insurance Law Assignment of Benefits