top of page
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)
​

THE CLINIC

CONTACT US

Thank you! We will get back to you as soon as possible.

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

Align Physical Therapy & Wellness

  • Google Places Social Icon
  • Instagram
  • White Facebook Icon
bottom of page