Atlanta Falcons Physical Therapy Centers, Home

Hours & Directions Patient Forms

Patient Forms

Please complete these four forms prior to your first visit.

• New Patient Information Form
• Medical History Questionnaire Form
• Appointment Form
• Optimal Instrument Form

Please arrive 15 minutes prior to your first appointment or five minutes early if you would like to bring these forms in pre-completed.

Other forms available on-line for your convenience:

• Special Private Medical Information Release Form
• Notice of Privacy Practices
• Patient Satisfaction Survey
• ACN Form - United Healthcare Only
• Difficulty Baseline-Medicare Only

If you have any questions, please call your local center or email us at wecare@afptc.com

Related Links