Book Appointment

Note: Please keep in mind that communications via email over the internet are not secure. Although it is unlikely, there is a possibility that information you include in an email can be intercepted and read by other parties besides the person to whom it is addressed. I CAN PT recommends that you do not include personal identifying information such as your date or birth, social security number, or other medical information you send to us. No one can diagnose your condition from email or other written communications.

For your First Appointment please bring the following:

Print & fill out the following:

Remember to bring the following:

  • Insurance card
  • Picture ID
  • Medication list, including over the counter, if any

Review the following:

Other Forms:

Authorization for Release of Information

Credit Card Payment Authorization Form