Patient Forms

At PROCare Physical Therapy, we want to maximize your time with us. Prior to your first visit, please print and fill out the new patient forms below. Please bring these with you to your first visit along with your insurance information and photo ID.

Note: You will need Adobe Reader to view and print these forms. You can download it for free from Adobe.

We ask all new patients to fill out these four forms:

If you are on Medicare, please also fill out this form:

For all patients, please select and complete the appropriate condition form that corresponds to the condition you are seeking treatment for:

  • I have truly enjoyed my care with Josh and all of the PROCare Staff. My pain has greatly decreased while my flexibility and range of motion has increased. Thanks to Josh and the work he has done, I have been able to return to my gym workouts with only slight limitation. My therapist, Josh, is an amazing, professional, courteous and knowledgeable young man. If I ever need therapy in the future (for myself or family and friends) I would highly recommend PROCare– and of course, Josh!

    Claudia Clark (pictured with Josh Guse, DPT)
  • My PROCare experience from my very first phone call to my last appointment has been very positive. I came in not able to walk. My therapists were great in helping me to reach my goals. Everyone has been so helpful, friendly, and compassionate. It felt like family! I really appreciate everyone’s help and assistance. You guys really are the best. Thank you PROCare!

    Carol M.
  • PROCare has been amazing! I have been trying to rehab from an auto accident for the last 4-5 years and have not been successful. PROCare was able to combine dry needling and physical therapy on my neck and shoulder. It really helped! I cannot thank Dave and the rest of the PROCare team enough. I feel great!

    Christie W.
  • Thank you to all at PROCare, you all have great passion for what you do, people come to you in a time of physical limitation and low spirits. The professional staff at PROCare really helped me to recover physically and emotionally. I feel the entire PROCare network of facilities and staff is second to none. If any of my family or friends is in need of physical therapy my only recommendation will be PROCare. Thank you all for your tremendous help and thank you for being the best!

    Jeffery L.(pictured with Julie Tranchita, PT)