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Helm Physical Therapy and Injury Prevention

Physical Therapy and Personal Training in the San Francisco Bay Area

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Forms

Before your first session please download, print, fill out, and sign the forms located below. If you already have a prescription from your doctor with a diagnosis for your condition then you don’t need to sign the Direct Access form.

If you find that you need to cancel or reschedule your session, please do so within 24 hours of your appointment time.

Patient Intake Form

Please complete this treatment authorization form with your address and contact information before your first treatment session so we know where to find you.

DOWNLOAD FORM

Patient Intake Questionnaire

Fill in this confidential patient questionnaire with the details of your past medical history and a description of your current problem so we can get to know you prior to your first treatment session.

DOWNLOAD FORM

Informed Consent for Physical Therapy Telehealth Services

Complete this form to get started with Telehealth Services.

DOWNLOAD FORM

Direct Access

If you are coming to us via Direct Access, please sign this form indicating that you understand that you may receive direct physical therapy treatment services for a period of up to 45 calendar days or 12 visits, whichever occurs first, before seeing your physician.

DOWNLOAD FORM

Consumer Information from the Physical Therapy Board of California

DOWNLOAD FORM

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