610-376-2100
Patient Forms
Make the most of your first appointment with Body Zone Physical Therapy by preparing important paperwork before you arrive.
Download, print and complete the below forms. Bring them with you to your first appointment and our staff will take it from there. We look forward to seeing you!
- Patient Information FormDownload Here |BODY-ZONE-PHYSICAL-THERAPY-PATIENT-DEMOGRAPHICS-FORM Can’t download the schedule? Try updating your Adobe Reader
- Pain Assessment FormDownload Here |BODY-ZONE-PHYSICAL-THERAPY-PAIN-ASSESSMENT-FORM Can’t download the schedule? Try updating your Adobe Reader
- Financial AgreementDownload Here |BODY-ZONE-PHYSICAL-THERAPY-MEDICARE-FINANCIAL-INFO-FORM-2024 Can’t download the schedule? Try updating your Adobe Reader
- HIPAA ReleaseDownload Here |BODY-ZONE-PHYSICAL-THERAPY-HIPAA-RELEASE-FORM Can’t download the schedule? Try updating your Adobe Reader
How to see a Body Zone Physical Therapist:
To see a physical therapist at Body Zone Physical Therapy, you can be referred by a healthcare provider, or opt for self-referral under Pennsylvania’s Direct Access Law.
Pennsylvania is one of many states that allow physical therapists to evaluate and treat, under certain conditions, patients without a referral from a physician for 30 days. After 30 days, you must obtain a physician’s referral to continue your treatment plan. Call your insurance plan before making an appointment to verify coverage.