For your convenience, we have provided our patient forms on our website. Prior to your first visit, please complete the requested forms and bring them with you. If you choose to fill out the forms at the office, please arrive 15-20 minutes before your scheduled appointment to allow enough time to complete the forms and ask any questions that you may have.

Patient Info & Medical History Form

Additional Wellness Questions

Patient Medication Form

Insurance Card Request Form

Patient Authorization/Consent Form

Notice of Privacy Practices

Ack. of Receipt of Notice of Privacy Practices

PT Plus Management Corporation Policies

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ADDITIONAL LINKS & INFORMATION

Online Patient Payments Through Instamed

​PT Plus Referral Form for Wellness Partners

I-94 and Moorland Road WI DOT Project Overview

Contact Us Today

Find your local Wisconsin physical therapy clinic to begin the road to a better you. We'll start with an evaluation, ​develop a plan and go from there.

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