Patient Forms

For the convenience of our patients, IMT patient forms for both new and returning clients are available on this page.

Please ensure all necessary documents are completed prior to your Initial Evaluation Appointment. If you opt to fill out the forms at our clinic, kindly arrive 30 minutes before your scheduled appointment to allow ample time for completion.

Please note that all documents are mandatory for intake, regardless of whether you have previously received treatment.

All of In Motion Therapy, Inc. Patient Intake Forms are PDF files and require Adobe Reader. Please click here to safely download the latest free version of Adobe Reader.


Physician Referral Form

Client Registration

Authorization to Treat

Patient History

Medication List

Auto/Workers Comp Patient Registration Form

Billing Notice

Notice of Privacy Practices

Release of Information

Consent for Treatment of a Minor

Consent to Release Health Information