Rejuvenation Physical Therapy
Harmonic Egg - HE Checklist - How to Prepare for your Visit.docx
Harmonic Egg - Client Application - HE-CLIENT APPLICATION.docx
Rejuvenation PnysicalTherapy Consent and Policies Form - RPT Consent To Treat Form.docx
Rejuvenation Physical Therapy Medical History Form - RPT Medical History 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: email@example.com
New Patient Forms
Harmonic Egg - Informed Consent Form - HE-Choice and Consent.docx
Harmonic Egg - Medication List (if applicable) - HE-Client Medications.docx
Rejuvenation Physical Therapy Notice of Privacy Practices Form -RPT Privacy Practice Notice.docx
Rejuvenation Physical Therapy Trigger Point Dry Needling Consent - RPT Dry Needling Consent Form.docx
CALL NOW (303) 725-6958
Mission Statement: My Mission is YOU!
609 East Speer Boulevard, Suite# 150
Denver, CO 80203
Tel: (303) 725-6958
Fax: (720) 941-6040
Copyright © RejuvenationTherapy, PLLC. All rights reserved.
Dr. Gayle Fischer, DPT, MPT