NEW PATIENT FORMS

In preparation for your initial evaluation at DORSET PHYSIO or STRATTON PHYSIO, you may print and complete the following Health History & Consent forms and bring them with you to your first treatment session. A new patient welcome packet can also be mailed to you at your request. 

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Notice of Privacy Practices (for your information only)

HEALTH HISTORY FORM

CONSENT FORM

Please arrive 15 minutes prior to your initial evaluation for registration.

You may be required to complete an outcome measure specific for your condition when you arrive.

Please bring a Photo ID, Insurance Card(s), your medication list, and a form of payment for any Payment Due and/or Supplies. Please wear loose comfortable clothing and supportive shoewear that you would exercise in at each visit.

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VISITOR POLICY: We allow a visitor to attend your session only if you require a caregiver to assist you in your care or mobility needs. All others will need to wait outside or in their car for all patient/client privacy. Children and/or siblings are not allowed to attend your visit, so please secure childcare for your appointment or your appointment will be rescheduled. Thank you for your understanding.

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THANK YOU AND WE LOOK FORWARD TO MEETING YOU!

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To schedule an appointment please call 802-867-7056.