Follow the steps to complete your consent form easily.

1. Press the ‘Get Form’ button to access the form and open it in your online document editor.
2. Begin by entering your full name in the designated 'Patient Name' field. This identifies you within the consent documentation.
3. Next, input today's date in the 'Today’s Date' section to establish the timing of your consent.
4. Provide the location where you are receiving treatment in the 'Location' field, as this helps in associating your consent with appropriate services.
5. In the 'Consent to Communicate Via Email' section, confirm your understanding by reading the provided information. Enter your preferred email address where you wish to receive communications from ATI.
6. Sign the form in the 'Patient/Guardian Signature' area, indicating your consent to the communication terms.
7. Date your signature in the line provided under your signature to confirm when you agreed to consent.
8. In the 'Consent to Communicate to Others' section, specify the person(s) you authorize ATI to communicate with regarding billing and payment. Clearly write their name in the designated line.
9. Circle the appropriate relationship to you from the options provided (e.g., husband, mother, friend) to clarify the connection.
10. Answer two verification questions from the list provided in order to verify the identity of the individuals you are authorizing. This ensures confidentiality and security.
11. Once all sections are accurately filled, you can save your changes, download a copy of the completed form, print it for your records, or share it as needed.

Complete your ATI Physical Therapy Consent To Communicate form online today for seamless communication regarding your care.