Complete these three forms at your leisure and fax them along with your doctor referral, if you have one, and a copy of your insurance card front and back to United Physical Therapy at (907) 561-0448 for the midtown clinic and 929-8403 for the downtown clinic prior to your first visit. This will allow United Physical Therapy to verify your benefits with your insurance carrier.


Print and Fax these forms
or bring them in with you on your first appointment.


      Midtown Fax:561-0448          Downtown Fax:929-8403          South Fax: 222-2889    


New Patient Intake/Registration


Patient HIPPA Compliance


Our policy at United Physical Therapy is to begin your treatment series within 24 hours of your contacting our office to schedule an appointment. 

We also have both male and female therapists, so if you prefer a specific gender, please just let us know when you are scheduling your appointment.

What to expect at your first visit:

Please arrive for your first visit 15 minutes before your scheduled appointment time to fill out paperwork if you haven’t already faxed it in. The receptionist will provide you all necessary forms and will be available to assist you at any time should you have questions. 


1. Your insurance card
2. The physician referral for rehabilitation if appropriate
3. Insurance information if you sustained a work injury, were involved in a motor vehicle accident - including a claim number issued by your carrier.

At United Physical Therapy, you should expect to begin each visit without delay. Your initial evaluation will consist of an interview and a physical examination. The length of the exam averages 30-40 minutes. You may be asked to change into a gown or shorts to allow the therapist to obtain the most accurate information. You may want to bring your own shorts if you are being treated for your knee, hip, or low back. Women may want to wear a tank top or sports bra if being treated for their shoulder, neck or mid-back. Every physical examination consists of palpation and a variety of manual tests to assess strength, range of motion, joint mobility, pain, and functional abilities. Once the evaluation is complete, the therapist will discuss the clinical findings with you and describe the treatment plan and our goal is to get you going toward improvement on that initial visit. Time permitting, treatment will begin immediately following the evaluation. Typically, you will be provided a home program at the conclusion of your first visit.

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