YOUR APPOINTMENT
When visiting the clinic for the first time, all we ask is that you fill out a patient information sheet which is downloadable by clicking the link below, and as appropriate, please bring:

• A copy of your driver's license to verify your signature and your date of birth (NEW POLICY)

• Referral form

• Current insurance card

• Co-payment


Click here to download the patient information sheets:

Patient Information Sheet

Consent for Care and Treatment

Consent to Use and/or Disclosure of Patient Information

Patient Medical History


© 2006 Novelty Hill Physical Therapy, a satellite clinic of Kirkland Physical Therapy, Inc., PS, all rights reserved