Patient Forms

For your convenience, we've provided our Admission forms on our website. To help expedite your first visit, please download, print and complete the forms. Bring them with you when you come in for your first visit. If you choose to fill out the patient form packet at our office, please arrive 10-15 minutes before your appointment to allow enough time to get them completed before your appointment.

Our forms are PDF files. To download and print the forms, you'll need the free Adobe Acrobat Reader program.

We have forms for private insurance/Medicare, Workers' Compensation and Auto Accident/Third Party. Please select the form packet that applies to your situation and download the HIPAA Notice of Privacy for your records.

In an effort to save paper and until we can set up a secure system to do the forms online, we respectfully ask that you copy forms ONE-SIDED. We cannot send double-sided copies to insurances if they request your forms and have to recopy all forms one-sided which doubles the amount of paper used.

• HPT Admissions Packet Regular and Medicare (8 pages)
• HPT Admissions Packet Workers' Comp (8 pages)
• HPT Admissions Packet Auto Accident/Third Party (8 pages)
• HIPAA Notice of Privacy Practices - All patients, please download this for your records.