get ready for your visit
You can fill out your new patient forms beforehand!
Below is a link to a packet of forms that you will need to fill out prior to being seen. If you print them and complete them prior to your appointment, this will make the check-in process quicker. You can also fill them out online using Adobe Acrobat Reader and email them back to us. We always recommend that new patients arrive 15 minutes prior to your first appointment either way. At MTI Physical Therapy, we are here to help you get the most out of your visit – contact us if you have any questions before your appointment. Click here to download the new patient forms.
additional forms
The following are individual forms that are available for download*. Some of these forms are part of the new patient form packet (as well as our online intake forms.) Forms marked with ** are NOT REQUIRED for your first visit and are not part of the new patient form packet.
- Privacy Practices (HIPPA) – this is our policy of how we protect your private information and medical records. This is a Federal Law that requires all health care practices to conform with.
- Medical Records Release Form** – this is used when you want us to send your records to yourself or another professional (i.e. attorney, physician, etc.) There may be a charge for copies of your medical record unless your records are being sent to another physician or Healthcare Facility.
- MTI Prescription** – please download and print one of these prescription forms for Physical Therapy to take to your physician if you need a prescription.
- Financial Policy – please view our Cancellation Policy as it is your responsibility to know the limitations and restrictions that your insurance company places on physical therapy. Please call our Billing Office at (425) 650-2708 if you have any questions.
- Authorization for Use or Disclosure of Health Information** – If you’d like to allow us to share personal health information with someone other than yourself (example: your assistant managing your schedule,) please download and fill out this form.
* You will need Acrobat Reader to view the pdf files. To download a free copy of Acrobat Reader, click here.