Rehabilitating Brighter Futures

Patient Info & Forms

Photo WESTARM Physical Therapy understands your time is valuable. In order to make your clinic visit more worthwhile, we have included some useful forms that you can download and prepare in advance of your appointment. Please bring your completed forms to WESTARM at the time of your first appointment. Our friendly registration staff will take it from there.

New Patient Registration Forms:

  • Patient Registration Forms
    • HIPAA – Acknowledgement of Notice of Privacy Practices & Release of Information (on same page)
    • Initial Questionnaire (2 pages)
    • Pain Scale
Based upon the body part to be treated, please print and complete one of the forms below: Our forms are PDF files. To download and print the forms, you’ll need the free Adobe Acrobat Reader program.


Corporate Office
(724) 337-6522

(724) 274-4333

(724) 543-1627

Leechburg / Allegheny Twp
(724) 845-2048

Lower Burrell
(724) 335-5526

Natrona Heights
(724) 224-2718

New Kensington / Arnold
(724) 339-7725

(412) 793-9900

(724) 353-0005

(724) 567-2265

Homecare Office
(724) 337-0420