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

● New Patient Info Form (below)

● Patient Medical History Form (below)

● Determination of Payer Form (below)

● HIPAA Consent Form (below)

● Cancellation Policy Notice (below)

● Driver License or Photo ID

● Insurance Card

The following forms are in PDF format.  You must have Adobe Acrobat Reader to view/print these forms.  You can download the program HERE.

Patient Information Forms (5 pages)

Notice of Privacy Practices

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.  If you would like a referral pad, please contact SaRah at 321-777-4033.

Beachside Physical Therapy Referral Form