For your convenience, the following forms are available for download. Prior to your appointment the Patient Functional Assessment Questionnaire and Rehabilitation Screening/Confidential Medical History must be completed and signed. Also, the Patient Notification, Financial Policies and the Notice of Privacy Practices must be read and signed.
- Patient Functional Assessment Questionnaire
- Rehabilitation Screening/Confidential Medical History
- Patient Notification
- Financial Policies
- Notice of Privacy Practices
Once you have completed the forms:
Liberty Physical Therapy
1255 Liberty Street
Redding, CA 96001
You should receive a call within 1 business day of receipt confirming we have received your form. If you have any questions, please call 530-224-2226.