Dresher Physical Therapy
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Patient Forms

PLEASE NOTE: You may type your information directly into the REGISTRATION FORM, MEDICAL HISTORY FORM and MEDICATION LIST (Required for Medicare Only).

Please print the FINANCIAL RESPONSIBILITY and CANCELLATION/NO SHOW POLICY FORMS which require your signature.

Please print out ALL forms and bring them to your first scheduled appointment, along with your prescription and medical cards.

To view, complete and print these forms, you must have Adobe Reader installed on you device. This is a free program that can be downloaded at: https://acrobat.adobe.com/us/en/acrobat/pdf-reader.html

 
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