Patient Forms

Physical & Occupational Therapy:

New Patient Packet

Vertigo, Dizziness or Balance:

Vestibular/Balance/Dizziness 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 your completed 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.