Patient Info / Forms

Welcome to Quantum Physical Therapy

We are here to help you enjoy your life, pain-free, injury-free and disability-free! Our practice is dedicated to helping our patients identify the cause of their musculoskeletal disorders, pain, and disabilities, thereby creating a custom treatment program that will assist them to return to normal or near normal physical activities free from pain and disability. To make a convenient appointment with us, simply call us today at (937)277-2077.

Patient Forms

At Quantum Physical Therapy, we want to maximize your time with us. Prior to your first visit, please download, print and complete the New Patient Intake Packet below. Bring it with you to your first visit along with your insurance information and photo ID.

Before Your First Visit

  • Make a list of questions that you have to discuss on your first visit.
  • List signs and symptoms that can be of importance to the therapist.
  • Have in writing key past medical history, previous treatments, current medications, and other important information.
  • Please call our office to verify your insurance benefits.
  • Arrive 15 minutes early for your first appointment.
  • Bring with you a copy of your insurance card and a photo ID.
  • Call your insurance company and ask them what are your physical therapy benefits/allowed number of visits per year, deductibles and co-payments. Make sure you get the name and ID# of the person who gave you this information to provide to your therapy clinic on your initial visit.

What to Expect on Your First Visit

  • You will register with our friendly front office staff. They will help you navigate the insurance process and treatment program so you can focus on your recovery.
  • You will meet with your physical therapist for the initial evaluation.
  • During the evaluation, your therapist will ask questions about your medical history, current pain, or injury. Open communication helps us understand your problem.
  • Your movement, strength, coordination, and much more will be evaluated. Our purpose is to help you, so please ensure you communicate to your therapist if anything is hurting or bothering you during the examination.
  • Your therapist will recommend and prepare a course of treatments to ensure the quickest recovery and the best results. Your therapist will discuss the recommendations with you.
  • You will schedule your series of visits with the front desk. The amount of therapy needed will be discussed with you, depending on the recommendations of your therapist. We offer many convenient appointment times, however, prime times can become busy, so it is best to book ahead as much as possible.
  • Your therapist will write up their findings and treatment plan to submit to your referring physician or another medical professional who you choose.
  • If you have any questions at any time, please don’t hesitate to call. We want to ensure your satisfaction and full recovery.
  • Please bring or wear appropriate clothing so the therapist will be able to perform the initial evaluation procedure in a respectful manner.