Current Patients
Welcome to our Current Patients page! Here, you’ll find all the necessary forms to complete before your appointment, as well as important information to help you prepare for your visit. If you have any questions, feel free to contact us. We’re here to support your journey to your healthiest self!
Patient Downloads
Please note: Signature is required on Patient Registration.pdf, Health History.pdf, Attendance Policy.pdf, and Acknowledgement of Receipt of HIPPA Documents.pdf
Select a File Below to Begin Downloading:
Client Information Letter
Patient Information Form
Female Pelvic Health Intake Form
Male Pelvic Health Intake Form
Auto Accident Information & Consent
Workers Compensation Information Sheet
Medicare Beneficiary Medication List
Notice of Privacy Policies
Would You Like a Good Faith Estimate?
If you do not have health insurance or plan to self-pay for our services, we will provide you with a “Good Faith Estimate” of our costs when you schedule at least 3 days in advance. If you would like to request a Good Faith Estimate before scheduling, please call our office or email:
Jackson Location: 307-733-5577 or admin@fourpinespt.com
Alpine Location: 307-654-5577 or adminalpine@fourpinespt.com
Pinedale Location: 307-367-3452 or adminpinedale@fourpinespt.com
Resources:
Check out our blog for more information on all things athletic performance, injury prevention, and training tips for your next adventure!
