top of page


971 Route 202n, Suite #2
Branchburg, NJ 08876
Email: puja@alignptw.com
Tel: 908-255-4040
Fax: 908-845-8649
Hours of Operation:
​
Mon: 9am - 5pm
Tues: 9am - 3pm
Wed: 9am - 6pm
Thurs: : 9am - 5pm
Fri: 9am - 12pm
​​Sat: By Appointment Only
Sun: Closed
PATIENT FORMS
To prepare for your first visit at Align Physical Therapy & Wellness, please print the patient forms below.
​
Complete the forms at your own pace and bring them with you to your first scheduled appointment.
​
** Along with these forms, you should also bring
-
A photo identification (i.e. Driver's License)
-
Your Physical Therapy prescription (if applicable)
-
Your insurance card
-
Any recent relevant diagnostic reports you may have (i.e. X-ray or MRI)
​
IF YOU ARE UNABLE TO PRINT OUT THE FORM, PLEASE PLAN TO ARRIVE MINUTES PRIOR TO YOUR SCHEDULED APPOINTMENT
​
​
​
​
PATIENT INFORMATION
​
MEDICAL HISTORY
​
CONSENT
​
COMPLETE PATIENT FORM
(Patient Information, Medical History, Consent)
​
bottom of page