Forms & Documents
Patient Forms and Documents
To make your physical therapy experience with North Platte as smooth and stress-free as possible, we have gathered all of your necessary forms and documents in one convenient place. Accessing and completing this paperwork ahead of time ensures that your care is fully compliant, meets all of your insurance provider’s specific requirements
New to our clinic? Please review the First Time Visitor page for helpful tips and information.
Privacy & HIPAA Policy
Every person is required by law to be notified about their privacy rights (HIPAA).
Printable Referral for Physicians
Any patients or physicians who would like to refer to our therapy group please print our referral sheet and bring in signed to your first therapy visit.