Energy Physical Therapy
Energy Physical Therapy

Patient Forms

Thank you for choosing Energy Physical Therapy LLC, for your physical therapy needs.

 

Please download, print and sign these forms and have them ready for your first appointment.

New Patient Information
EnergyPT_new_patient_form.pdf
Adobe Acrobat document [201.7 KB]
Patient Consent
EnergyPT_consent_form.pdf
Adobe Acrobat document [57.9 KB]
Prescription Form - to give to your doctor
If your doctor has not yet provided a prescription for physical therapy, you can print this form and bring it to your doctor to complete and sign.
EnergyPT-script.pdf
Adobe Acrobat document [221.6 KB]
HIPPA Notice of Privacy Practices
Please read the HIPPA form. As part of the consent form, you will acknowledge that you were provided and read this HIPPA notice.
NOTICE OF PRIVACY PRACTICES.pdf
Adobe Acrobat document [87.5 KB]

Energy Physical Therapy

Serving Pottstown and neighboring areas

 

On the move to help YOU

get moving again!

click map to view our service area

Call to schedule in-home physical therapy

 

610-310-0915

“No matter what health issues or injuries life sends your way, you can maximize your daily quality of life with the right treatment and training.”


Dr. Julie Adamski
founder, Energy Physical therapy

QUESTIONS?
Find out what you should know before your first appointment!

 

Read our FAQs now. 

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© 2013 Energy Physical Therapy LLC - Gilbertsville, PA - serving Pottstown, Pa, and surrounding areas