Print New Patient Forms
Consent to Treat
Medical History
Registration Sheet
Consent to Treat
Medical History
Registration Sheet
Patient Information
Please complete all three forms and bring them with you to your appointment.
For Medicare Patients, there will be additional paperwork to complete at your
initial visit.
For Medicare Patients, there will be additional paperwork to complete at your
initial visit.
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Please arrive 15 minutes early to complete paperwork, or print the forms
below and bring them completed to your appointment.
Wear loose fitting clothes
When you check in at KHPT, you will be asked for the following:
1. Photo ID
2. Your prescription for therapy from your physician
3. Your insurance card or worker's comp information
We will make a copy to file in your chart.
4. Any applicable copayment or coinsurance required
below and bring them completed to your appointment.
Wear loose fitting clothes
When you check in at KHPT, you will be asked for the following:
1. Photo ID
2. Your prescription for therapy from your physician
3. Your insurance card or worker's comp information
We will make a copy to file in your chart.
4. Any applicable copayment or coinsurance required