FORMS

Once you have made your initial appointment, you can pre-register by clicking on the links for New Patient Forms below. Simply download, print, and complete the forms prior to your arrival. Doing so will help speed up the new patient registration process at your first visit.

Patient History Form

Patient Demographics

Active HIPPA Notice

Call for An Appointment

Thank you for selecting Active Physical Therapy. To schedule an appointment at our physical therapy center, located in Wilbraham, Massachusetts, please call us at 413.596.5362.

How Do I Become a Patient?

You or your physician’s office may call us directly to set up the initial appointment. Your insurance may require a referral from your physician. Once you are scheduled for an appointment, you may access the required paperwork located above.

What Should I Bring To My First Visit?

Plan on arriving 15 minutes early in order to complete any required paperwork. Please bring your insurance card, a photo ID, a list of current medications, and any other documents the scheduling representative may have requested when you made your appointment.

What Should I Wear?

Please wear comfortable or loose-fitting clothing that will allow you to expose the area being treated and exercise more comfortably. Sneakers or rubber-soled shoes are also recommended.