Patient Forms

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PKL Patient Forms

If you haven’t been in our practice for over a year & any of your personal information has changed, we recommend you take a moment to download and complete out these forms before your next scheduled appointment.

Download Hippa Form
Download Patient Health Questionaire 2016
Download Registration Form 12.8.15

Have A Question?

    PKL is the best choice for Physical Therapy on Long Island with offices in Bethpage and Amityville
    Call (631) 691-6900 or (516) 605-1700

      AMITYVILLE PHYSICAL THERAPY

      11 Broadway
      Amityville, NY 11701

      (631) 691-6900

      Appointments
      Get Directions
      Have A Question?

      BETHPAGE PHYSICAL THERAPY

      343 Broadway
      Bethpage NY 11714

      (516) 605-1700

      Appointments
      Get Directions
      Have A Question?

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