Mission Statement: My Mission is YOU!
Rejuvenation Physical Therapy
Dr. Gayle Fischer, DPT, MPT
609 East Speer Boulevard, Suite# 150
Denver, CO 80203
Tel: (303) 725-6958
Fax: (720) 941-6040
Rejuvenation Therapy Notice of Privacy Practices Form -RPT Privacy Practice Notice.docx
Rejuvenation Therapy Consent and Policies Form - RPT Consent To Treat Form.docx
Rejuvenation Therapy Medical History Form - RPT Medical History Form.docx
Rejuvenation Therapy Trigger Point Dry Needling Consent - RPT Dry Needling Consent Form.docx
For your convenience and to help save you time, the forms below are available for download.
You may complete them and bring them with you to your first appointment. You may also fill these forms out when you arrive at our office.
Please bring any xrays/MRI results/operative reports, if available.
Please bring comfortable clothing, and a pair of shorts if you have low back, hip, knee, or ankle pain.
Rejuvenation Therapy, PLLC, 609 East Speer Boulevard, Suite #150, Denver, CO 80203, Tel: (303) 725-6958, Email: firstname.lastname@example.org
New Patient Forms