Forms

Please print out the following packet that pertains to your visit and complete it prior to your scheduled appointment.

Physical Therapy:

New Physical Therapy Patient Packet


Vertigo, Dizziness or Balance:

Vestibular/Balance/Dizziness Patient Packet


Occupational Therapy:

New Occupational Therapy Patient Packet 


Medical Records Release:

If you need us to obtain records from another clinic, physician or other third party, please print out the following Authorization of Release of Information form and complete it prior to your scheduled appointment.

Authorization of Release of Information

You may also return any of your completed and printed forms to our office via mail or fax to (406) 752-6250.


The following forms require the free Adobe Acrobat Reader which can be downloaded at Adobe by clicking the icon.