Patient Forms & Links

Yadkin Physical Therapy looks forward to having you join our host of satisfied patients. Our physical therapists have a schedule tailored for your convenience. To schedule an appointment, please call us at 336-677-1800.

Once you have made your initial appointment, you can pre-register by clicking on the links below to download the New Patient Forms. Please print and complete the forms prior to your arrival. This will help to speed up the new patient registration process and get you in to see your physical therapist faster!

Interactive Form:

• New Patient Registration Form

 Downloadable Forms:

• New Patient Registration Form
• Notice of Patient Information Practices (HIPAA)

Please note:  It may take a few minutes to load the forms if you are using a dial-up Internet Connection.  If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below. 

Links

• http://www.apta.org
• http://yadkin.ymcanwnc.org