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PT Forms
Please complete these forms prior to your first appointment. Insurance benefits will be verified after the registration form is submitted.

ONLINE Forms
Registration Form
Health History
Consent Form
Notice of Privacy Practices


Functional Screens:
Please select and complete the appropriate form below (if preferred you may complete this form when you arrive at the clinic):
Neck
Shoulder / Arm
Low Back
Lower Extremity

Be sure to bring your photo ID, insurance card, and PT prescription.

E-mail: drhousept@outlook.com
Fax: 512-533-0003

For Physician Offices: Outpatient PT Prescription Form

Printable Forms
Registration Form
Health History
Consent Form
Notice of Privacy Practices

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