Patient Forms

Before you arrive to your first visit to FIT Physical Therapy, please print and fill out these patient forms. This will make your check-in process much quicker.  Please see the instructions below for how you can "fill & sign" and send your forms to info@fitptnc.com.

Please feel free to contact us if you have any questions about any of the forms.
​

• New Patient Information Form


• Notice of Patient Information Practices 
  
  
• Receipt of Notice of Patient Information Practices
  
  
• Financial Policy Handout for Patient
  
  
• Financial Policy

patientform.pdf
File Size:	82 kb
File Type:	pdf

Download File

---

hipaa.1-02a.pdf
File Size:	120 kb
File Type:	pdf

Download File

---

hipaa.1-03a.pdf
File Size:	39 kb
File Type:	pdf

Download File

---

financial_policy_handout_for_patients.pdf
File Size:	234 kb
File Type:	pdf

Download File

---

financial_policy.pdf
File Size:	187 kb
File Type:	pdf

Download File

---

---

How-to guide
How to fill, sign, and send a PDF form:

1. Within Acrobat, open a PDF file or click on the Create PDF tool in the right pane to convert your document to PDF.
2. Click on the Fill & Sign tool in the right pane.
3. Click on the text insertion tool in the toolbar at the top of the page, and then type on your form. Use the pop-up menu to change type size or save your data to use it again in the future, if desired.
4. Click Sign in the toolbar at the top of the page.
5. Draw or type your signature, or use an image.
6. Click Apply and place the signature on your form.
7. Click Send & Track in the right pane to send your form to others and get notified when recipients view it.

Learn more about filling and signing forms