CALL NOW (303) 725-6958

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

Copyright © RejuvenationTherapy, PLLC. All rights reserved.

​Harmonic Egg - HE Checklist - How to Prepare for your Visit.docx

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


Rejuvenation PnysicalTherapy Consent and Policies Form - RPT Consent To Treat Form.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

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​       Rejuvenation         Physical Therapy 

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

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

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

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

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

Dr. Gayle Fischer, DPT, MPT