Patient Forms

As a convenience to our patients, IMT patient forms for new and returning clients can be found on this page.

Please complete all necessary documents, and bring them your Initial Evaluation Appointment. If you prefer to fill out the forms at our clinic, please arrive 30 minutes early to your appointment to allow time to complete.

All documents are required required for intake even if you have received treatment in the past.

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.


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