Patient Forms 

Please print and fill out the Health History form and insurance information before coming to your appointment.​ Digital forms are also provided and must be submitted via e-mail. Further instructions on submitting digital forms are detailed here.

Arm, Shoulder or Hand – Printable PDF, Digital PDF

Low Back – Printable PDF, Digital PDF

Lower Extremities : Hip/Knee/Foot – Printable PDF, Digital PDF

Neck – Printable PDF, Digital PDF

Balance – Printable PDF, Digital PDF

Vertigo/Vestibular – Printable PDF, Digital PDF

Headaches- Printable PDF, Digital PDF

TMJ- Printable PDF​​

•••Medicare Patients – Please fill out one additional form required by Medicare.

For your First Visit

In order for us to provide the best care for you, it is very important that you bring the following items to your visit:

•Photo ID
•Insurance information and card
•A list of your current medications
•Your referring physician and primary care physician’s name, address and phone number
•A referral/script from your physician
***Copay is due at the time of visit***

Digital Forms Submission Instructions (two options)

In order to fill out the form and submit it to OPPT, you must have the latest version of Adobe Acrobat Reader. This can be downloaded for free. You can not submit the digital file via the web browser. The digital file must be downloaded and saved to the computer and opened with Adobe Acrobat Reader in order to be submitted properly. Adobe Acrobat Reader Download

  1. Click on the digital link for the file. From there, do not fill out the form in the web browser, rather download the file and save it to a place you can easily find on your computer. Find the spot where you saved the file, open the file with the newest version of Adobe Acrobat Reader, and proceed to fill out everything on the digital form and press submit at the bottom of the last page. From there, a prompt will appear and allow you to send the file via an email client. Follow the prompt and the form will be sent to the proper e-mail.
  2. Click on the digital link for the file. From there, do not fill out the form in the web browser, rather download the file and save it to a place you can easily find on your computer. Find the spot where you saved the file, open the file with the newest version of Adobe Acrobat Reader, and proceed to fill out everything on the digital form and instead of pressing “submit” at bottom of the page, save the file to your computer, then continue to e-mail the file as an attachment to jeffreywoodspt@gmail.com or bar2112@msn.com for submission.