Get Athletes Training Center New Patient Health Form 2019-2025

Completing the Athletes Training Center New Patient Health Form online is a straightforward process that allows new patients to provide essential information. This guide offers step-by-step instructions to help you navigate the form with ease.

Follow the steps to fill out your health form confidently

1. Click ‘Get Form’ button to obtain the form and open it in your preferred digital editor.
2. Begin by entering your personal information in the 'Contact Information' section. Fill in your last name, first name, and middle initial. Select your gender and provide your street address, city, state, zip code, and social security number.
3. Indicate your preferred method of contact by selecting one or more options: phone, email, or both. Provide your home, work, and cell phone numbers. Specify whether messages can be left at these numbers.
4. Add your email address in the designated field. You can be assured that your email will be used only for communication regarding your health and newsletters.
5. Fill in information regarding your employment or education, including the name of your employer or school, and mark your employment status accordingly.
6. In case of an emergency, provide the name and phone number of someone you trust whom the center can contact.
7. Navigate to the 'Provider and Treatment History' section. Include the name of the healthcare provider who referred you, as well as your primary care physician. Answer whether you have received any physical therapy in the past three years and understand the importance of providing complete treatment histories.
8. Complete the 'Referral Information' section by stating how you learned about the Athletes Training Center. You may select multiple options.
9. Answer the initial medical questions related to any injuries or treatments. Provide the date of onset and a brief description of the injury, along with any prior appointments with healthcare providers.
10. List any diagnostic tests you have had, your work type and status, and any difficulties you experience in specific activities.
11. Indicate your average pain level, mark pain locations on the body diagram, and share any medications you are currently taking along with known allergies and surgeries.
12. Answer questions about your physical activity, competitive sports participation, and any relevant medical conditions.
13. Finally, review all fields for accuracy and completeness before saving your changes. You should also have the option to download, print, or share the form once it’s completed.

Complete your documentation online today to ensure a smooth process at the Athletes Training Center!