New Patients

Welcome to Maximum Impact Physical Therapy.
Thank you for trusting us with your care; our focus
is YOU.

How to Schedule an Appointment

Scheduling at MIPTS is so easy. Follow these simple steps
to make an appointment:

STEP 1:

Call our office at 219-5825 to schedule an appointment.

STEP 2:

Print out the three new patient forms below.

1. Patient Medical History (download)
2. Patient Information (download)
3. HIPPA Privacy Act (download)

STEP 3:

Fill out all three new patient forms. Please remember to sign and date at the bottom of each page.

STEP 4:

For your first appointment...

Arrive 10 minutes early if you printed and filled out the new patient paperwork in advance

Arrive 30 minutes early if you would like to fill out the paperwork in our office

Arrange to have someone assist you when filling out the paperwork if you have any difficulty with reading or writing.

Arrange to have a legal guardian present during the evaluation if the patient is under 18 years of age.

Wear loose comfortable clothing, so that the therapists can access the region to be treated.

Remember to bring:

• Photo ID
• Insurance card
• Referral from your medical provider
• Any additional reports (x-rays, MRIs, etc.) from your medical provider
• Completed new patient paperwork

STEP 5:

Smile because you have completed the necessary steps to begin your path of relief and recovery.