(307) 335-5188

Please click on each individual link and print and fill out each page.  Bring paperwork to your first visit along with your Insurance Cards, ID and any other documentation pertinent to your visit.

wind river physical therapy

 

* = Required Forms for Physical Therapy Treatment

Cover Sheet *

Patient Intake *

Medical Questionare *

Financial Responsibility Agreement Form *

Cancellation and No show Policy *

Consent for Treatment*

Notice of Privacy Practices * (Printable copy for your records or view in our office)

Acknowledgment of Privacy Practices *

Patient Payment Plan Agreement