Advanced Care Physical Therapy Registration Forms

At Advanced Care Physical Therapy, Aquatic and Fitness Center in Niagara Falls and Wheatfield, New York, we look forward to having you join our host of satisfied clients. Our therapist’s schedules are tailored for your convenience. To schedule an appointment, use our Online Appointment Request Form or call us at 716-282-2888.

Once you have made your initial appointment, you can pre-register online by simply clicking on the links below. Please complete the online form and click on submit. If you have access to a printer it may be easier to download the forms, print them, fill them out and bring them with you to your visit. Completing the forms prior to your visit will help to speed up the new patient registration process and get you in to see the physical therapist sooner.

Please choose to either complete the forms online or download the forms and bring them into the office completed on your first visit. You do not have to do both.

Please note that any information transmitted electronically is secure and adheres to all privacy laws.

Online Forms:

• New Patient Registration
• Patient Health Questionnaire

Download Forms:

• PHYSICAL THERAPY - Forms
  • Registration Form
  • Financial Policy
  • Patient Health Questionnaire
  • Notice of Privacy Practices
    
    

Please note: It may take a few minutes to load the forms if you are using a dial-up Internet Connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.