Patient Form Center

We offer multiple options to get your paperwork to you before your appointment. You can access the paperwork below or our office staff can email or fax the paperwork to you.

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Step 1: Complete Form Packet

This includes all the forms you will need to complete as a new patient. Please print and complete this packet to bring with you to your first appointment:

New Patient Information Packet

Other Forms

Notice of Privacy Information Practices Form

Referral Form

Step 2: Specific Treatment Area Forms

Please select and fill out the appropriate functional scale below in order for your therapist to track outcomes with your case.

Neck Form

Shoulders, Elbows, Hand & Wrist Form

Total Knee Replacement Form

Back Form

Hips, Knees, Foot & Ankle Form

"I have had the opportunity to have therapy at other places but Physical Therapy Associates far exceeds the other places I have been. The staff is always friendly and show concern for your well being. When I started therapy after back surgery, my muscles felt very weak and the simplest activity tired me quickly. Burt Frank is an outstanding therapist and worked with me to strengthen my back and core muscles. He always motivated me to exceed my own expectations. I completed therapy this week and my back feels so much stronger. I can do more each day and have more stamina than when I started. Thank you Burt for all your work with me! With work at home I feel I will continue to feel stronger."

Cindy G.

"Wonderful people! They help me feel better and stronger after shoulder surgery. Autumn and Tracy, thank you so much for getting me mobile again. I consider everyone at Physical Therapy Associates a friend. Thank you again so much for your help. I will recommend you guys to everyone."

Ron P.

"This is my first time to have any kind of physical therapy. I was very impressed to see how friendly and how much they care about your specific need and what it takes to get you back to being healthy. I would recommend Physical Therapy Associates to anyone."

Louise B.

"After rotator cuff surgery, I received excellent care from my therapist Lex Gillean. The entire staff from the front desk to my therapist provided the care I needed to recover my strength and range of motion. Thank you Physical Therapy Associates!"

Linda M.

Get in Touch

(806) 792-5522
(806) 785-7582 (Fax)

[email protected]

Open Hours

Mon – Thurs: 7am – 6pm
Fri: 7am – 5pm
Sat – Sun: Closed

Request An Appointment

3838 50th Street
Lubbock, Texas 79413

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