» NEW PATIENT FORMS :

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Lower Back Pain

Lower Back Pain

Neck  Pain

Neck Pain

Knee Pain

Knee Pain

NEW PATIENT FORMS

Print and complete the following form and bring them to your first appointment.

Medical History Form 

New Patient Forms  

Activities of Daily Living Suggestion Page

Your first visit to Barkman and Smith’s Physical Therapy will start with a thorough assessment of your condition or injury, and the development of a customized treatment plan.

It is possible that you will be receiving your first treatment at that time as well, so be sure to wear comfortable clothing.

Bring with you your photo identification, insurance cards, and any test results from your referring physician.

If you normally wear corrective lenses or hearing aids, be sure to have them in place. Communication with your therapist is important.

Please bring a list of any prescription and over-the-counter medications you are currently taking.

We accept most major insurance providers.

We strive to present your therapy within a friendly and comfortable environment with our professional physical therapists working one-on-one with you.

If you would prefer to complete your paperwork at home please click the links below to print your new patient paperwork. Bring in your completed paperwork to expedite beginning your treatment on your first day.


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