Patient Forms

Allied Physical Therapy & Rehabilitation, Inc. offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Information Sheet

Contains essential patient information as it relates to treatment. Includes personal information, medical history and an emergency contact number.

Download & Print Form


Returning Patient Questionnaire

From time to time we ask returning patients to fill out a reevaluation questionnaire. This helps both us and our patients to review their progress over time.

Download & Print Form



Download the Free AdobeReader®

Office Hours

Monday:

9:00 am-7:00 pm

Tuesday:

9:00 am-7:00 pm

Wednesday:

9:00 am-7:00 pm

Thursday:

9:00 am-7:00 pm

Friday:

9:00 am-4:00 pm

Saturday:

Closed

Sunday:

Closed

Locations

Testimonial

Read What Our Clients Say

  • "After a motor vehicle accident, requiring neck surgery, the team at Allied brought me back to good health. Much appreciated and I’d highly recommend them to anyone."
    Tom H. - Google
  • "This is an excellent facility for physical therapy. The staff is friendly, knowledgeable, and caring. I highly recommend Allied Physical Therapy for anyone in need of PT."
    Lisa - Google
  • "The folks at Allied know their stuff AND they care about me as a human being. Starting with Angelo and the rest of the team, Marissa, Debbie, and Lauren, I feel that my physical recovery is paramount to them; and, they integrate their notes to respond to any surgical precautions. They really provide a harmonious combination of healthcare and human-being-care. I would highly recommend them to anyone seeking physical therapy in the area. Doug from Mansfield :-)"
    Doug - Google
  • "Excellent service,friendly stuff in all locations."
    Monnsif-Google

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