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.

Back

Foot/Ankle

Knee/Leg

Neck

Arm/Shoulder/Hand

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