Patient Forms - Adult OT and Adult PT

Patient Forms - Adult OT and Adult PT

New patients are required to fill out a Patient Intake form and sign a Patient Consent form. Please read the Patient Consent form carefully as it explains our No Show/Cancellation Policy.

*Please note: the OT/PT Clinic cannot accept e-mailed forms. Please print the forms out and bring them to the clinic reception at your first appointment.

Patient Intake Form
Patient Consent Form
School of Health Sciences and Human Performance  ·  Ithaca College  ·  Ithaca, NY 14850  ·  (607) 274-3237  ·  Full Directory Listing