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Patient Foms

Medical History Form

Please bring a completed medical history form to your first visit.

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Patient Registration Form

Please bring a completed patient registration form to your first visit.

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Patient Health Questionnaire

Please bring a completed patient health questionnaire to each visit.

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Medical Release Form

Please bring a completed medical release form to your first visit.

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Informed Consent and Liability Waiver Form

Please bring a completed informed consent form to your first visit.

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Notice of Privacy Practices

Please bring a completed notice of privacy practices form to your first visit.

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Physical Therapy Referral Form – for Clinicians only

Physicians and other service providers may use this form to refer a patient to Montoya Physical Therapy.

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