609 East Speer Boulevard, Suite# 150
Denver, CO  80203
Tel:  (303) 725-6958

Fax:  (720) 941-6040
Email:  gayle@rejuvenationpt.com

Harmonic Egg - Medication List (if applicable)HE-Client Medications[13506].docx

Rejuvenation Physical Therapy Medical History Form -  RPT Medical History Form.docx

Rejuvenation Physical 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 or email them back to me prior 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:  gayle@rejuvenationpt.com

New Patient Forms


Rejuvenation Physical Therapy Consent and Policies Form - RPTconsent1.docx

Copyright © RejuvenationTherapy, PLLC. All rights reserved.

Dr. Gayle Fischer, DPT, MPT

       Rejuvenation         Physical Therapy 

Rejuvenation Physical Therapy Notice of Privacy Practices Form -RPT Privacy Practice Notice.docx

Harmonic Egg - Informed Consent Form - HE-Choice and Consent[13503].docx

      CALL NOW (303) 725-6958

Harmonic Egg - Client Application - HE-CLIENT APPLICATION[13504].docx

​​​​Mission Statement:  My Mission is YOU!