Patient Forms For Our SD Physical Therapy Clinic Visitors

San Diego Physical Therapy Patient Forms

Prior to your first visit with us at our SD physical therapy clinic, please take a few moments to complete your initial paperwork. Doing so will help us expedite your care and will save you time during your first appointment. Simply click on the attached PDF to download and print!

SD Physical Therapy Clinic Medical Questionnaire

In order for you to truly benefit from your physical therapy in San Diego, it is important for us to first create a clinical profile for you. This will allow us to establish a safe and appropriate therapy program customized specifically for you. Your input is extremely important, so please fill out the following questionnaire as completely as possible.

* = Required

NEW PATIENT FORM
Full Name:	*
Address:
City, State, Zip:
Telephone Number:	*
Email Address:	*
Age:
Dominant Hand :
PRESENT SYMPTOMS
Please describe your complaints:
How long have symptoms been present?:
Date of onset:
If this was an injury, check the appropriate boxes:	Motor Vehicle Accident Work Injury Sports Other No Injury / Incident
Briefly describe how it happened here:
What kind of pain are you experiencing?: ( Check all the following that apply):	Numbness Pins / Needles Shooting Pain
If two or more areas of pain: What area started first?:
If two or more areas of pain: Was there an injury for the second area?:	Yes No
If there was an Injury for the Second Area, where was it?:
Pain since onset (select one)?:
Frequency of pain?::
If constant, does intensity vary?:	Yes No

Payment Options

Our SD physical therapy clinic believes in the value of wellness care for you and your family, so we maintain a pricing structure that invites care for all budgets. Isis Physical Therapy participates in most insurance programs, so we can be sure to care for you too. We now also accept auto accident and workers compensation cases. For patients who have little or no San Diego physical therapy insurance coverage, we can arrange flexible payment options. Quickly learn more about our payment options for San Diego physical therapy and wellness care; call us today at: 1.888.673.2263

Insurance

At Isis Physical Therapy, we accept most insurance plans. We accept auto accident, workers compensation, personal injury, and most health insurance plans, including Medicare. Call us today to see if your plan covers care from our office. Our staff will gladly verify your plan coverage and explain your benefits to you, at no extra charge.

No Insurance

For our patients who have little or no San Diego physical therapy insurance coverage, we can offer flexible payment programs. Even with no insurance or no physical therapy benefits as part of your current plan, there is still a way for you to receive the specific care you need. Many of our patients pay directly for their care, and have been extremely happy to discover that physical therapy in San Diego is cost effective, affordable, and rewarding.

Family Plans

Our focus at Isis Physical Therapy is to actively help you and your family get the best results possible for your health, wellness, and disease management. We assist and guide you, so you truly learn to care for yourself and the important people around you. In our continuous effort to make “living the wellness lifestyle” as easy and affordable as possible, we can create a customized family plan that is specific to you and your family’s needs.

Health on a Budget

At Isis Physical Therapy, we are convinced that spending a small amount of your time and energy now to care for your most important asset--your health--will prove to be far less time consuming and expensive than trying to recover it once it’s gone. Contact us today to hear about our SD golf exercises and other physical therapy techniques that have helped so many people. Even if you currently feel like you do not have enough time or money to take care of yourself, or that feeling good again is close to impossible, call us today – we can help!

We want you to leave our offices with all your health ‘crisis’ behind you. It’s time to take your health very seriously, because as the old adage goes, 'if you don’t have your health, you have nothing.' Sad but true, and unfortunately too many people fail to understand its meaning before it’s too late.

From everyone here at Isis Physical Therapy, we would like to thank you for filling out our questionnaire. We would also like to let you know that we are excited about serving you for all of your San Diego physical therapy needs! At Isis Physical Therapy, we are here to help you function and feel your best again, and you are now one step closer to achieving that for yourself.

If you are tired of limited mobility, subtle and/or obvious pain, inability to participate in certain activities, etc., chances are we can help! Maybe you simply need to learn some safe SD golf exercises to help you improve your golf game? Our Fit At The Tee Advantage or Golf Fitness Programs are likely to be perfect for you! Click Here to visit our services page to learn more about what we can offer to you.