Citrus Valley Physical Therapy

Patient Paperwork

There is nothing here to print. Once your appointment is booked, we send your intake paperwork to you electronically, so you can fill it in at home, at your own pace, the evening before if that suits you. Set aside about 15 minutes. It is thorough on purpose. The more your therapist knows before you walk in, the more of your first hour goes to examining you instead of copying details off a clipboard.

01How Your Forms Reach You

Your paperwork comes to you, before you come to us.

When your appointment is booked, our front desk sends your intake forms to you electronically. You complete them on your phone, tablet or computer, wherever you happen to be, and they land back with us before you arrive. Nothing to download, nothing to print, nothing to find a working pen for in a waiting room.

Give yourself about 15 minutes. The forms cover your contact and insurance details, your medical history, the medications you take, what hurts, how long it has been going on, and what you are hoping to get back to. Answer as fully as you can. Every one of those answers is something your therapist would otherwise have to ask you for during the hour that was meant for your evaluation.

If anything is unclear, leave it and ask at your visit. Nothing on the form is a test, and nothing is held against you for skipping a box you were not sure about.

Prefer Paper?

Not everyone wants to fill out forms on a screen, and that is fine. Call or text us at (909) 353-7053 → and we will have a paper copy waiting for you at the front desk. Come a few minutes early and complete it in the waiting room instead.

Request an Appointment

Ready when you are.

HoursMon-Thu: 7:00am - 6:00pm | Fri: 7:00am - 4:00pm
Walk-insCall ahead
Talk to a physical therapist about what is going on. We'll call you today.

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Step 1 of 5
First things first. What's your name?
We'll need a name to book you in.
Best number to reach you?
A phone number lets us confirm same-day.
And your email?
We'll send your confirmation here.
What questions do you have about your pain or injury?
A few words is all we need.
Look right? Send it.
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Request received.

We'll call within business hours to lock in your time.