New Patient Forms
On your first visit please bring your insurance cards, referral (if we don't already have it), and the appropriate forms found below, or arrive 15-20 minutes prior to the start of appointment to fill them out in person. Please wear a mask that covers both your nose and mouth, and clothing in which you can easily move. Ideally, your therapist would be able to see the area that is being evaluated, but please dress to your comfort.
SPT Demographics
Our basic intake forms. Everyone gets to complete these prior to their first appointment. Feel free to print them out and bring them with you.
Patient Release of Medical Records
For patients treated at Lebec Physical Therapy prior to 2020. Please complete, print and bring with you.
Functional Assessment Questionnaires
Choose the one or two, which most closely represent your problem(s):
Patient-Specific Function Scale