New Patient Paperwork
 


Thank you for choosing Genesee Valley Physical Therapy for your rehabilitation.  We know you have a choice and we promise to make your experience positive.  The following forms are required of all new patients to GVPT.  Please take a moment to fill them out prior to your appointment.  Doing so will ensure you have the maximum amount of time with your physical therapist for a thorough evaluation.

InfoAboutOurPractice.pdf
PTEntranceSurvey.pdf
Patient Liasion Letter.pdf
HIPPA.pdf
NOTICE OF PRIVACY PRACTICES.pdf

Additional form for our Medicare patients:
MCRGuidelines.pdf

Please download these additional forms if your injury was sustained at work and you have filed a workman's compensation claim:
CompReleaseIns.pdf
NF_CompReleaseCase.pdf

Please ask the front desk staff if you would like a copy of our HIPPA privacy policy.