Physical Therapy Forms

Below are the files to fill and out and email to Dr. Audrey before your initial visit. Also, please attach a picture of the front and back of your insurance card. 


Email for Dr. Audrey is [email protected]


1. Pt Consent to Treat

       pt-informed-consent.pdf

2. WCW Registration Form

     wcw-registration.pdf

3. Pelvic Floor Consent to Treat (Only for Pelvic Health Patients!)

     pelvic-floor-consent-for-evaluations-and-treatment.pdf

4. Pelvic Floor History Form (Only for Pelvic Health Patients!)

     pelvic-floor-health-history-for-website.pdf

CONTACT US TODAY

We look forward to hearing from you!

Location

Find us on the map

Office Hours

Our Regular Schedule

Algona Office

Monday:

7:30 am-5:00 pm

Tuesday:

7:30 am-5:00 pm

Wednesday:

7:30 am-5:00 pm

Thursday:

10:00 am-5:00 pm

Friday:

7:30 am-5:00 pm

Saturday:

By Appointment Only

Sunday:

Closed

Swea City Office

Monday:

1:00 pm-5:00 pm

Tuesday:

Closed

Wednesday:

1:00 pm-5:00 pm

Thursday:

Closed

Friday:

1:00 pm-5:00 pm

Saturday:

Closed

Sunday:

Closed