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Patient Registration Forms //

Active Spine Physical Therapy welcomes you to our practice.  


Once you have made your initial appointment, you may pre-register by downloading, printing, and completing the forms below. Please be sure to bring them with you to your first visit, along with a photo ID, your insurance cards, and any diagnostic films or other test results that may have been ordered or performed by another physician. Completing the forms prior to your visit will help speed up the new patient registration process.

Patient Payments
Testimonials //


I can’t say enough about Active. The entire team were awesome! Helped with Insurance, called me when I forgot an appointment to make sure I was ok to plain old Friendly! I probably drove Erik crazy, but he was there for me every step of the way. He made me feel comfortable and did everything he could to get me less pain. I wouldn’t consider any other Therapy facility if I needed help again. Thank you


Hip Pain Patient

Jay is great to work with. Very laid back, doesn’t make you feel like you’re training for a marathon when you’re there for pain management. Too many PT’s think more is better but when you’re in pain it’s definitely not! Thanks Jay!


Low Back/Knee Pain Patient

I just wanted to say thank you so much for your wonderful care of me and my back. This was hands down the best PT experience that I have ever had. If I ever need therapy again, or know someone who does, you are top of the list! I appreciate everything, from working around my hectic schedule, to Sara's excitement for my wedding gown shopping! You guys are wonderful!


Mid-Back Patient

Active Spine is my go-to with any PT issues and my doctor highly recommends them and I can see why. Love these guys!


Low Back/Leg Pain Patient

Very pleasant and welcoming staff. They have been treating a couple of problem areas. The stretching and exercise is very helpful. I feel much better when I walk out.


Hip/Shoulder Patient

Health plans //

One of the best things about Active Spine Physical Therapy is that we work with almost all major insurance carriers (inlcuding Medicare and Medicaid) and we participate in many local provider networks.


Our front office staff will work diligently with your physical therapist and insurance company to accommodate your individual needs. 

Frequently Asked Questions //

​​​​​What should I expect at my first visit?

You will be seen by a licensed Physical Therapist who will listen to your concerns and then complete a comprehensive evaluation. Together, a treatment plan will be designed with your goals in mind.

What should I wear?

It is suggested that you wear something comfortable that allows you to move freely and allows the Therapist access to the area of your body you are seeking treatment.

Do I need a referral/prescription from a doctor to see a Physical Therapist?

All 50 states have passed legislation that allows direct patient access to a physical therapist without a physician referral. You may be seen by a licensed Physical therapist as long as it is medically necessary, which will be determined by the treating therapist.


Physical therapists are educated at the post-baccalaureate level receiving extensive education and clinical training in the examination, evaluation, diagnosis, prognosis, and intervention of patient/clients with functional limitations, impairments and disabilities.


Physical therapists are qualified to recognize when a patient presents with signs and symptoms inconsistent or outside the scope and expertise of the physical therapist and when the patient should be referred to a physician.

Will my treatment be covered if I come by direct access?

Some insurance agencies may still require a prescription for physical therapy from your doctor. All Medicare patients do NOT require a prescription. You will be covered by your healthcare physical therapy benefits as long as it is approved by your insurance and you have not exhausted your annual allowance. We always recommend that you call the number on the back of your insurance card to find out what your physical therapy benefits allow.

I have additional questions regarding my first appointment and condition, whom should I contact?

Please feel free to call or email us at with any additional questions.

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