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Trust the universe...accept its messages...and keep your motives clean. The client's body will tell you which way to go. ~John Upledger
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Download Forms
Thank you for considering Prevent the Pain Therapy as your healing center of choice.
The first step for all potential patients is to fill out the New Patient Information Form to verify what insurance benefits are covered.
Download the New Patient Information Form 
Please also include the following, which are not mandatory but are helpful for your file:
• A copy of your license or ID with a copy of both sides of your insurance card.
• A copy of your prescription for physical therapy if you have one
It would be helpful to follow-up with us by phone to make sure we have received your information
and can expedite the process.
To save time on your first visit, download the appropriate forms below and complete them as best
as possible before you come in for your evaluation.
Download the Consent Care and Treatment Form 
Download the Patient Information Acknowledgment Form 
Download the Patient Health Questionnaire Form 
We also suggest writing down in as best detail as possible the history of your issue including
current goals and concerns because you might forget some details when you are in your session.
For car accident patients this is also good for recollection/legal purposes.
If you have hired an attorney that is representing you with treatment, please download the lein
agreement form below and have your attorney sign it and bring it with you signed by both you and
your attorney.
Download the Lein Agreement Form 
We hope this information will make your visit as pleasant an experience as possible.
Looking forward to seeing you here at PTPT!!!!
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