Complete the following form and bring to your first appointment.
You may choose to complete your forms online or print and bring them to your first appointment.
Activities of Daily Living Suggestion Page (for reference when completing your paperwork. This may help when choosing activities affected by your condition)
Your first visit to Barkman and Smith 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 above to print your new patient paperwork. Bring in your completed paperwork to expedite beginning your treatment on your first day.