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New Patient resources

You can save time by filling out our intake forms prior to your first visit.

 

Printable Intake Forms:

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​Online Intake Forms​

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Questionnaire

Please fill out the questionnaire that corresponds to the part of the body that you have complaints about (if there are more than one area please fill out all questionnaires that correspond

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HIPPA Form:

If you would like us to talk to others (friends, family, coaches, personal trainers, doctors, massage therapists, or other health care professionals) about your treatment please fill out the HIPPA disclosure form

HIPPA

NEW PATIENT INTAKE

MVA Paperwork

L&I Paperwork

Action Reaction Physical Therapy

A locally owned physical therapy clinic located in the Lake City neighborhood in Seattle. All appointments are scheduled for a 1-on-1 session with a physical therapist for one hour.

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Phone: (206)523-6826
Text: (206)569-5201

Fax: (206)523-6831

front@actionreactionpt.com

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Located inside Lake City Professional Center

2611 NE 125th St, Suite 90

Seattle, WA 98125

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