New Patient Registration Form

Print and complete the patient registration form at your leisure and save time before your appointment. Our Privacy Practices are included.

Patient Form New Patient Registration Form

The printable form is in .pdf format. You will need Adobe Acrobat Reader to view and/or print these files.

Download Adober Acrobat Reader

Physical Therapy Physical Therapy
Extremity & Spine Care
Work & Sports Injury Management
Strength & Conditioning
Tel: 816-524-7040

Physical Therapy Related Links
FAQ's
Resources
Insurance

Extended Office Hours: 8:00 AM-6:30 PM Monday-Friday
Running, Swimming, Physical Therapy

800 NW Main Street
Lee's Summit, MO 64086
tel: (816) 524-7040 | fax: (816)524-7057
email: Info@summitstrength.com

Soccer, Golf, Physical Therapy