Shasta Physical Therapy

Shasta Physical TherapyShasta Physical TherapyShasta Physical Therapy

Shasta Physical Therapy

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New patient paperwork

 As a new patient, we will have you fill paperwork with your information, consent for services and information use. Come prepared to your initial evaluation with these sheets printed and filled out with your insurance card handy!

Intake Sheet (pdf)

Download

Informed Consent for Physical Therapy (pdf)

Download

Informed Consent for Physical Therapy for a Minor (pdf)

Download

Notice of Patient Information Practices (pdf)

Download

Patient Information Consent Form (pdf)

Download

Pain Scale (pdf)

Download

insurance policy

We are preferred providers for most private insurances and accept all workers' compensation insurances. We are not providers for Medi-Cal. If you do not have health insurance, we would be more than happy to discuss a cash payment arrangement.  


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