Paperwork

  Patient Paperwork

New Patients will need to bring in the following on their first visit to Beachside Physical Therapy:

New Patient Info Form (5 pages) [Enter Info Online]

● Determination of Payer Form

● HIPAA Consent Form

● Cancellation Policy Notice

● Driver License or Photo ID

● Insurance Card

(Note: for forms in PDF format, you must have Adobe Acrobat Reader to view/print.  You can download the program HERE)

Notice of Privacy Practices


Other forms:

Lower Extremity Functional Scale

Upper Extremity Functional Scale

Lower Back

Neck Disability Index



  Referral Form

Patients, please feel free to download this form and have your doctor fill it out for you. 

Doctors, please feel free to download a copy of our referral form for your records.

Beachside Physical Therapy Referral Form