Patient Forms

Patient Forms

Please use these forms, as directed by our therapists and exercise physiologists, to expedite the physical therapy intake process. If you have questions, please contact our Physical Therapy Department at 215.753.9034.

• Authorization to Release Medical Information
• HIPAA Packet
• Medical History Form
• Patient Authorization and Guarantee
• Patient Information Form
• Cancellation Policy

© Copyright 2013

FitLife Fitness & Aquatics, Inc.
7140 Germantown Avenue
Philadelphia, PA 19119
215-753-8898