• 714-577-0745
  • Yorba Linda, CA 92886
  • 16615 Yorba Linda Blvd.
  • Yorba Linda Physical Therapy
Action Potential

Medicare Forms

For your convenience we have provided our new patient forms to be downloaded and completed prior to your initial visit with us. Having these forms thoroughly completed assists our front office process your paperwork in an efficient and expedient manner and provides the therapist with a thorough detailed health history needed to provide the best care possible. If you have any questions regarding our forms please feel free to call us for clarification.