Patient forms

Further paperwork may be emailed to you after our staff has verified insurance coverage and details. These benefit estimations do not guarantee coverage, but are rather a courtesy service offered by Impact Sports PT to assist in understanding the cost per session for physical therapy. Final cost will be determined once your insurance company has processed claims and a patient responsbility is determined.


Please follow the steps below to complete the necessary paperwork prior to your initial appointment:

  • Click Fill form in top right corner

  • Log-in with an email address

  • When email is confirmed, fill a copy

  • Make sure box is checked for fill a copy (only you)

  • Check box stating "I agree to use electronic records and signature"

  • Click green box stating "Let's do this!"

  • Complete paperwork as thoroughly as possible

  • TROUBLESHOOTING: If you are having difficulty completing the forms online, particularly with Internet Explorer, please switch to Chrome

  • Any further questions, please contact or