New PT Patient Paperwork


If you have access to a printer, please complete the below paperwork prior to your first appointment.   You can bring the completed forms with you, email them to, or fax them to 805.456.0795

Spark45 New Patient Forms and Statements


If you are needing a copy of your medical records, please complete the forms below and return to SPARK45 Fitness and Physical Therapy.  Please be aware there is a $20 fee for request of medical records and a minimum of a 2 week processing time.

Request for Medical Records (English)
Request for Medical Records (Spanish)