New Patient Forms » Hand Therapy



Please complete the following paperwork prior to your first appointment. Fill out the Medicare questionnaire ONLY if you have Medicare.


You may download a printer-friendly version by clicking on “PDF” next to the forms, or request that we mail the forms directly to you when you schedule your first appointment. Please bring the completed paperwork with you and arrive 15 minutes prior to your appointment time to allow enough time to complete your registration.


Required Forms:

  • New Patient Form (PDF)
  • Hand Therapy Intake Form (PDF)
  • DASH Form (PDF)
  • Medicare Questionnaire (PDF)