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Request an
Appointment

Patient Registration

The forms needed for your registration at Southern Oregon
Physical Therapy Associates, Inc., are available by clicking on the
files below.

We understand that filling out forms can be time-consuming and that is why completing them before your appointment is helpful.

Insurance Cards

Please bring your insurance card(s) with you to your first
appointment so we may photocopy them for your records.

To view and print the following registration forms you must have
Adobe Acrobat Reader. If you do not have it, simply click on the
icon below to download a free, current version.

Download free Adobe Acrobat reader >>

Then, click on each of the forms below and save to your
computer. You may then open and print each.

Patient Registration

For patient registration, please fill out all of the following forms:

If you have any questions, please call us at 541.773.7678.
We appreciate your patience and efforts.


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