New Patient Forms

The links below will provide you with our patient forms. You can print these out and complete them before you come in for your first visit. You will need Adobe Reader to view and print these files. Please click on the following link to download and install Adobe Reader if you do not already have it installed.

New Patient Intake Form
This form is the New Patient Intake Form which requests your personal information as well as insurance information. Please make sure you fill this form out as accurately as possible. You may download this form by clicking the "Download These Forms" link below.

Patient Health History Form
This form is the Personal Health History form which tells us your past and current physical state. It also gives you the oppurtunity to tell us if you have any allergies to specific medications. You may download this form by clicking the "Download These Forms" link below.

Insurance Accepted by Pro Care PT
This form is a list of Insurance Plans we currently accept. You can also see a list of the Insurance by clicking on the "Insurance" tab above or you may download this form by clicking the "Download These Forms" link below.

Questions?

Please feel free to contact us with any questions or concerns at 718-274-4400 or Info@procareptgroup.com

4111 30th Ave # C, Astoria,NY 11103-2913 (718) 274-4400