Rutherford Physical Therapy

Patient Paperwork

Complete your forms at home so your first visit starts with treatment, not a clipboard. Download each one below, fill it out at your own pace, and bring the printed copies with you, or email them ahead so our team can have everything ready and reviewed the moment you walk through the door. It takes a few minutes now and saves you time later.

Book an Appointment →

01Download Your Forms

Four forms. A few minutes. Zero waiting room clipboard.

New Patient Intake

Your contact details, pain history, and goals for treatment.

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Medical History

Past injuries, surgeries, medications, and conditions we should know.

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Insurance Information

Your coverage details so we can verify benefits before you arrive.

Download →

Privacy Notice

How we protect your health information, reviewed and signed once.

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Good to Know

Can't print at home? Arrive 15 minutes early and we'll have everything ready.

Request an Appointment

Ready when you are.

Monday7:00am - 6:30pm

Tuesday7:45am - 4:00pm

Wednesday7:00am - 6:30pm

Thursday7:45am - 4:00pm

Friday7:45am - 4:00pm

Walk-insCall ahead

Book your evaluation. Same-week appointments available.

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