Get Signature Form

Completing the Signature Form online is an important step for individuals authorizing their digital signature for physical therapy documents. This guide will provide clear instructions to help you navigate each aspect of the form with confidence.

Follow the steps to complete the Signature Form online.

1. Click ‘Get Form’ button to obtain the document and open it in your online editor.
2. Begin by filling in your first name in the designated field marked 'First Name.' Ensure the spelling is correct.
3. Enter your middle initial in the 'Middle Initial' section. This is often optional, but include it if applicable.
4. Provide your last name in the 'Last Name' field, ensuring maximum accuracy for legal documentation.
5. Fill in your state license number in the 'State License #' area. This information is crucial for verification.
6. Input your National Provider Identifier (NPI) number in the 'NPI #' field to establish your identity as a health care provider.
7. Enter your email address in the 'Email' section for communication purposes regarding your signature and documents.
8. In the 'Clinic Name' field, type the name of the clinic where you work or are associated.
9. Specify the clinic's city and state in the 'Clinic City, State' section to ensure proper identification.
10. Indicate your user type by circling one of the following options: 'Therapist,' 'Therapist Assistant,' 'Student,' or 'Replacement Signature.'
11. Sign your name in the box provided. Ensure your signature closely resembles your usual signature while staying within the lines.
12. Once completed, you can save your changes, download a copy of the form, print it, or share it as needed.

Complete your documents online today and ensure your digital signature is ready for use!