Client Forms - PhysioFit Physical Therapy & Wellness

650.684.5323

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Patient Paperwork

General Physical Therapy

Blocked Milk Duct Therapy

Pelvic Floor Therapy

Fitness Form

Release/Waiver

Doctor Referral Form

Prescription Form

PhysioFit Physical Therapy Email Privacy Policy
PhysioFit HIPPA Privacy Policy

PhysioFit serves clients who live and work in the South Bay Area
Los Altos • Mountain View • Sunnyvale • Cupertino • Palo Alto • Campbell • Santa Clara • San Jose

PhysioFit Physical Therapy and Wellness P: 650-947-8500 • F: 650-947-8501 • 1000 Fremont Ave. #108, Los Altos, CA, 94024

COVID-19 UPDATE: We are open for in-person physical therapy appointments and continue to offer
PT Video Visits and Virtual Fitness Classes in the comfort of your own home.

Call (650) 684-5323 for all service options available.

PhysioFit serves clients who live and work in the South Bay Area
Los Altos • Mountain View • Sunnyvale • Cupertino • Palo Alto • Campbell • Santa Clara • San Jose

PhysioFit Physical Therapy and Wellness P: 650-947-8500 • F: 650-947-8501 • 1000 Fremont Ave. #108, Los Altos, CA, 94024