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Downloadable Forms

 

To expedite your visit please fill out the following interactive forms and present them when you check-in. Thank you!

 

TLC Patient Registration Form / PDF document
TLC Patient Medical History Form / PDF document
TLC Privacy Notices Form / PDF document
TLC Office Policy and Authorizations Form / PDF document
TLC Patient Self-Determination-Act Questionaire / PDF document

 

Physical Therapy Forms / Microsoft Word Documents

 

Physical Therapy / TLC Rehab Patient History Form / MS Word doc

Physical Therapy / TLC Rehab Insurance Form / MS Word doc

Physical Therapy / TLC Care and Considerations / MS Word doc

 

New Patient Forms