If you are a new patient at Alpine Physical Therapy please click the link below to fill out the patient intake form.

Patient intake form

When you call our office to schedule your first visit, we may ask you to fill out one (or more) of the following forms. We’ll explain to you at that time which one (or two) we need you to print, fill out, and bring with you on your first visit.

Balance/Dizziness Intake Addendum (Only Necessary for Vestibular/Dizziness/Balance Patients)
Dizziness
Foot/Ankle
Headache
Knee
HIP
Low Back
Neck
Shoulder/Arm
Wellness Program Intake