To protect your privacy, we do not accept appointments online. Please phone us directly at 212.254.7750 to make an appointment or email any inquiries to info@thrivept.com
For your convenience, we have provided downloadable versions our intake forms below. To expedite your intake process, print and complete these forms and bring them with you to your initial appointment.
- New Patient Intake Forms - Standard (7 page PDF document*)
- New Patient Intake Forms - Medicare (8 page PDF document*)
Below are additional forms that are required by some insurance companies. Please check with the front desk to see which, if any, additional forms you are required to complete.
- OptumHealth Pre-Cert Forms *required for all Oxford patients
- DASH: Disabilities of the Arm, Shoulder and Hand (4 page PDF document*)
- LEFS: Lower Extremity Functional Scale (1 page PDF document*)
- Back Index (1 page PDF document*)
- Neck Index (1 page PDF document*)
*Adobe Acrobat (PDF) Reader is required to read and print forms.
