New Patient Form 2013-11-14T11:23:41+00:00

If you are a new patient and would like to begin therapy at Premier Physical Therapy, please fill out our online Intake Form below. This will greatly reduce the amount of time that you will be on the phone with the receptionist. We all know that both she and you need a break from being on the phone. Once you have completed the form, give us a call and we will get you on the schedule. Our new paperless system is secure and certified so the information that you enter here will not be visible to anyone else.

 

Please remember to call us once you have completed the form.

Midtown or West “O” call 402-933-0100

Benson 402-575-5700