Patient Forms

If you are a New Patient please download, print, and fill out the following forms: Patient Registration Form, Office Policy Form, Health History Form, and Index form that correlates to your area of injury.


If you are a Returning Patient please download, print, and fill out only the Health History Form and the Index form that correlates to your area of injury. 

Don't forget to bring your filled out forms with you to your first visit. If unable to print please come in 15 minutes early to fill out forms.

Thank you!

Frequently Asked Questions:

​​​​​What is an Index Form and how do I fill it out? 

This questionnaire form has been designed to give your therapist information as to how your pain has affected your ability to manage everyday life.  Please answer every question by placing a mark in the circle that best describes your condition today.


What should I wear to Physical Therapy?

You should dress comfortably with access to your area of injury or pain. You should also be wearing comfortable shoes. Gym clothes are usually the best clothes to wear. There are rooms for you to change in as needed.


How long should I plan on being there?

Most visits are around 60 minutes.


Do you accept health insurance and will you bill my Insurance Company for my treatment?

As a courtesy to you we will verify your out-patient physical therapy benefits and bill your insurance company, but these are not a guarantee of benefits/payment and ultimately you are responsible for all charges. Please call our office for more details.


Do I need a prescription to come to physical therapy?

It depends, but certain insurance providers like Medicare will require one. Most physical therapy prescriptions are good for 30 days.  


Health Plans

We accept: 


  • Medicare

  • PPO Plans

  • Workers' Compensation

  • Cash pay options available

For more information specific to your health plan, please visit our insurance inquiry page, or call our front desk at (949) 748-7806. 


Advance Movement Physical Therapy

22 Odyssey, Suite 260

Irvine, CA 92618

Inquiries? Call or email us:

© 2014 by Advance Movement Physical Therapy. All rights reserved.