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Shoulder & Hand Therapy Center​​

Patient Forms

Select each form, print them, fill them out, and bring to your first visit.  Have a question, contact us.

Provides us your basic information to file insurance claims, and acknowledges patient responsibility.

Please review our privacy policy and list your contact preferences should we have to contact you regarding appointments.

Provides information on your current conditions and medications so we can better serve our patients.  

Please review our privacy policy.  This is for your information, you do not need to bring ​a copy to your appointment.  

What our customers are saying

He is really a fantastic therapist.  I didn't think my hand would make a fist again.  [They were] friendly and always made you feel comfortable."

Mike D. - Huntingdon, TN