1) New Patient Form (two pages)

2) HIPAA Consent Form

New Patient Forms:

3) Patient Contract

Condition Specific Forms:

Please select the area of the body that most accurately locates your pain or discomfort and complete the corresponding form.






All Good Life patients need to complete the following forms.

Las Formas de Pacientes Nuevos:

Todos los pacientes necesitan completar las formas siguentes.

1) Las Formas de Pacientes Nuevos (dos paginas)

2) La Forma de Consentimiento de HIPAA

3) El Contracto de Pacientes


© Good Life Physical Therapy

Eastown Clinic

Phone: 616-248-9842

Fax: 616-248-9848

Email: info@goodlifegr.com

1331 Lake Dr, Suite 105

Grand Rapids, MI 49506

Centerpointe Clinic

Phone: 616-855-6588

Fax: 616.248.9848

Email: info@goodlifegr.com

2500 E. Beltline Ave. SE, Suite J

Grand Rapids, MI 49546

Good Life Therapy