At Back On Track and Pleasanton Physical Therapy, our goal is to help make your recovery with physical therapy quick and seamless. Here you can find downloadable intake forms.

Please download, print, and fill out to bring into your first appointment. Bring your insurance card and a valid form of ID. We advise arriving about 15-20 minutes prior to your appointment so we can submit your paperwork and go over your insurance plan verification. 

Patient Intake Forms

Patient Intake Forms (Spanish)

Medicare Intake Forms 

United Health Care Intake Forms 

Cigna Intake Forms 

Workers Compensation Intake Forms

You will ONLY need to print out the forms that best pertain to you. If you have any questions, feel free to contact any of our locations and we will be happy to help.

OUR SERVICES

Learn more about the many services we offer including Primal Reflex Release Technique, Kinetic Chain Release, Blood Flow Restriction, and more.

OUR SERVICES

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CONTACT US

We are committed to helping you recover and restore health. For more information about our physical therapy services, please contact us today.

CONTACT US

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