Patient Info Forms

Have Appointment Queries?

Save some time for your next appointment!


Please arrive 15 minutes early for your first appointment.


It is a good idea to make a list of questions that you want to discuss on your first visit.


Bring a copy of your insurance card and a photo ID with you.


Please call our office at (215) 607-7931 to verify your insurance benefits beforehand.


Have in writing key past medical history, previous treatments, current medications, and other important information.


List out signs and symptoms that can be of importance to the therapist. What has been hurting or bothering you? For how long? What is it preventing you from doing?

What To Expect At Your First Appointment

We have a lot of convenient appointment times, but peak times can fill up quickly, so plan as much as possible.

Please do not hesitate to contact us at any time if you have any questions. We want to make sure you are comfortable so you can experience a full recovery.

When you arrive at our office, you will register at the front desk. They will help you with the insurance process so you can focus on getting better as soon as possible.

After that, you will have your initial evaluation with one of our physical therapists. We will ask about your medical history, present pain, ailment, or injury during your evaluation. Try to be as honest as possible; open communication helps us better understand your issue and find the best solution for you!

During your appointment, your movement, strength, coordination, and other factors will be evaluated. Our goal is to assist you, so please let our therapist know if anything hurts or bothers you during the examination!

Following your evaluation, our physical therapist will recommend and prepare a personalized treatment plan to ensure the fastest recovery and best results. On the first day, some treatments will be administered to get you started on the road to recovery. During your next visit, however, you will be able to fully implement your treatment plan.

Our therapist will document their findings and treatment plan, which will be given to your referring physician or another medical expert of your choice.

You will plan a series of visits at the front desk when your first appointment is completed. The number of treatment sessions required will be determined by the recommendation of our therapist and will be discussed with you at your first appointment.

Updated at:
Sept, 2023


Fill out these forms beforehand to save some time

Patient Authorization and Guarantee

Notice of Protected Health Information Practices

Patient Intake Form

Pain / Symptom Diagram

If you don’t have time to print them off beforehand, it’s not a problem! Allow extra time before your appointment to complete the forms in our clinic.At Total Performance Physical Therapy, we are here to help you make the most of your visit, whatever that means to you – contact us today!

BOOK AN Appointment

Want to make booking or have a question?

People who are in pain, have had an injury, or have a disease that prevents them from moving around as freely as they would like should consider physical therapy.

We at Total Performance Physical Therapy are dedicated to determining the source of your discomfort and providing a treatment plan that will allow you to return to living a full and healthy life.

Our Norristown, North Wales, East Wales, East Norriton, Harleysville, and Hatfield, PA physical therapy clinics are available to assist you in resuming your favourite activities! Please call (215) 607-7931 or learn more about our services.

You have more options than ever for the day-to-day aches and pains. Subscribe today for free healthy tips & exclusive offers twice a month!


We’re Hiring!
We Have an Immediate Opening for a Physical Therapist in Harleysville. Resumes Can Be Sent to

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