Adult Registration History and Forms | Fyzical - Physical Therapy and Balance Centers

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Downloadable Documents

Patient History Form

Patient Registration Form

Patient History Form (Spanish)

Patient Registration (Spanish)

What Our Clients Are Saying!

“Went from bad pain in shoulder to no pain at all. I’m very satisfied with everything."

— David B.

What Our Clients Are Saying!

“When I first went to therapy my foot hurt so bad I could barely walk on it. This limited the things I could so and made my job at work difficult to do. After six weeks of therapy I am able to walk with little to no pain. Thank to Everyone at Fyzical."

— James M.

What Our Clients Are Saying!

“Since starting therapy I am sleeping better, less headaches and an overwhelming feeling of energy again. I was going through a depression due to headaches and neck pain. When I first started my therapy at Fyzical, with Amy’s help I finally understand what was the cause of the headaches. The entire staff were so helpful and patient with me. I would recommend Fyzical to my friends needing physical therapy."

— Judy K

What Our Clients Are Saying!

“Everyone from the front desk and all the techs are the “Best”. I’ve done therapy at other centers and never achieved what these folks helped me to achieve! Highly recommend “Fyzical” therapy!"

— Jeff L.

What Our Clients Are Saying!

“Initially I came in basically unable to walk. I could not put any weight on my left leg at all. After approximately 7-8 visits I was back to playing basketball. The staff was nice and friendly. They were absolutely amazing."

— Christian S

What Our Clients Are Saying!

“I highly recommend Krysta @ FYZICAL. After my surgery I thought I would go to PT a couple times & figure out what I could do at home to get back to normal. I was wrong. Krysta helped me to get my range of motion back and helped my big scar disappear. It was easy to schedule appointments. "

— Amy J.

What Our Clients Are Saying!

“I had rotator cuff surgery in the spring. Following that surgery my shoulder was very weak and I was unable to move it without pain. I began me therapy with Fyzical and was amazed at how quickly my quality of movement improved with their help. I am now able to move with almost complete range of movement and have most of my strength back. I honestly believe I could not have attained this in less than 6 months with the staff at Fyzical."

— Nancy B.

What Our Clients Are Saying!

“I came in with severe sciatica pain I’ve been dealing with it for years and my chiropractor was unable to solve. By the end of my first visit I was walking again with little pain. I’ve returned to a normal daily routine. I wish I would have come to FYZICAL years ago!"

— Craig N.

What Our Clients Are Saying!

“Came in after a bad car accident. Couldn’t put my socks on, my back hurt so bad. After 2 months of seeing Heidi & Scott I’ve regained all my mobility & have finally got back into the gym. Night and day difference from when I started."

— Gregory E.

What Our Clients Are Saying!

“When I came to Fyzical I had a lot of pain on my back. They work on my back and got me on the right track to get me healthy again. I recommend this place to anyone who has an issue that needs physical therapy. Thank again!"

— Alemenesh M.

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