Youthful Horizons Therapy patient forms

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Youthful Horizons Therapy

OFFICE
325 S. University   Spokane Valley, WA 99206
Map / Driving directions
(509) 921-9798

Orthopedic therapy services Spokane, WA

Patient Forms

To help expedite your next appointment simply download, complete, print and return the needed forms below. Please print the forms once they have been filled out and sign your name where needed. If you do not have access to a printer, please copy them to a disk, USB stick or CD/DVD and bring it with you so we can print them here for you to sign.

 

Orthopedic Patient Forms

The Orthopedic Patient Forms Packet below includes these important forms:
• Patient Information    • Patient History     • Treatment Authorization/Consent    • Authorization to Release Medical Records
DOWNLOAD:  Orthopedic Patient Forms Packet »

Pediatric Patient Forms

The Pediatric Patient Forms Packet below includes these important forms:
• Pediatric Patient    • Treatment Authorization/Consent    • Pediatric Patient History    • Authorization to Release
Medical Records    • Infant Toddler Network/Spokane Regional Health District Information
DOWNLOAD:  Pediatric Patient Forms Packet »

 
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