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Consent to Treat
Consent, release of information, account responsibility, and office policies.
Prepare for your visit
Patient forms.
Save time at your first appointment by completing your forms before you arrive.
Before your first visit
Choose your pathway’s forms.
For Restore, complete the Consent to Treat, Medical History, and one functional assessment. For Thrive, complete the two Thrive forms below.
Please bring the completed forms and arrive 15 minutes before your scheduled appointment.
Restore · Step 1
Restore forms
For traditional physical therapy, complete both forms below and one functional assessment.
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Medical History
Tell your therapist about your symptoms, health history, medications, and goals.
Restore · Step 2 · Choose one
Functional assessment
Select the form that best matches the body area or symptoms we will be treating.
Lower body
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Lower Extremity
For hip, knee, ankle, foot, or other lower-limb concerns.
Upper body
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Upper Extremity
For shoulder, arm, elbow, wrist, or hand concerns.
Spine
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Neck
For neck pain and related limitations in daily activity.
Spine
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Back
For back pain and related limitations in daily activity.
Balance
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Dizziness / Imbalance
For dizziness, vertigo, balance, or unsteadiness concerns.
Sports performance, conditioning & wellness
Thrive forms
For your first Thrive appointment, print and complete both forms below.
For your information
General information
You may review these documents online. You do not need to print or bring them to your appointment.
Patient information
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Privacy Practices
Review how OPTA may use and protect your health information.
Need help?
Call 863-644-0007
We’re happy to guide you.
If you are unsure which forms to complete or have trouble opening a form, call our office.