Patient Forms

At ProHealth Physical Medicine, we offer patient forms online so you can complete them in the convenience of your own home or office. Fax or email us your completed forms or bring them with you to your visit.
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  • If you do not already have AdobeReader® installed on your computer, Click Here to download it now.

  • Download the necessary form(s) and fill in the required information.

  • Fax or email us your completed form(s) or bring them with you to your appointment.

Physical Medicine Paperwork

BioTe Paperwork

  • Female Step 1 - Initial Paperwork

  • DOWNLOAD
  • Female Step 2 - Initial Insertion Paperwork

  • DOWNLOAD
  • Female Step 3 - Follow-up Insertion Paperwork

  • DOWNLOAD
  • Male Step 1 - Initial Paperwork

  • DOWNLOAD
  • Male Step 2 - Initial Insertion Paperwork

  • DOWNLOAD
  • Male Step 3 - Follow-up Paperwork

  • DOWNLOAD​​​​​​​

Personal Injury Paperwork

  • PI New Patient Paperwork with Accident Questionnaire

  • DOWNLOAD
  • Personal Injury Questionnaire

  • DOWNLOAD