(913) 888-0014
Home
» Information : Client Information

Information

Share this page

Printer
Menu
  1. Client Information
  2. Insurance Information
  3. Physical Therapists

Client Information

Precise and Personalized Physical Therapy

Call us if you need help or information:
Missouri: 816-941-2550
Kansas: 913-888-0014

Pay Bill Now

Click the button below to access your New Patient Paperwork.

PLEASE NOTE: You MUST save the file to your computer prior to filling out so all information saves properly, and you are able to provide and e-signature.

Download Patient Paperwork

Click here to download the Request For Patient Info Release Authorization form

Click here to download the Health Information Privacy Notice
Click here to download the Notice of Nondiscrimination

Share this page

Printer
Newsletter Sign-up
Sign Up for Newsletter
Close x
Sending...
Thank you for signing up.
You have been added to our newsletter list.
Email
First name
Last name
Yes, I would like to receive newsletters from Elite Sports Medicine & Physical Therapy.
Make an Appointment
Request an Appointment
Close x
Sending...
Your message was successfully sent. Thank you for your time.
Date and time
First name*
Last name*
Email*
Phone
Enter code
 
Anti-robot Image
Play Anti-robot Audio
Pick Different Image Code
We will call you soon to discuss availability.
Sample