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 danielle@spark45.com, 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)