PATIENT FORMS
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Physical Therapy Intake
New physical therapy patients complete this form before the first visit.
Physical Therapy Lien
For approved personal-injury cases receiving care under a lien.
Pilates, GYROTONIC® & Fitness Intake
Adult intake and waiver for Pilates, GYROTONIC®, and fitness sessions.
Pilates, GYROTONIC® & Fitness Intake for Minors
Intake and waiver for clients under 18.
Foy’s Massage Intake & Booking
Complete massage intake information or schedule with Foy.
HIPAA Authorization
Authorize disclosure of protected health information.
Photo & Video Release
Optional authorization for photography or video.
NEED HELP?
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Call or text Dr. Karpus for physical therapy forms. For massage or Pilates forms, contact the practitioner you are scheduled to see.