Intake Forms

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Intake Forms

FYZICAL Dewitt looks forward to welcoming you to our facility, providing you the best therapy in the greater Lansing area and having you join our host of satisfied clients.  We understand and recognize that you/your child’s health and well-being are of utmost importance and we are honored you have chosen our team of specialists to be part of your/their care.  

Once you have made your initial appointment, you may download and print the appropriate forms, fill them out and bring them with you to your first visit. Completing the forms prior to your visit will help speed up the registration process and ensure that your first visit is a meaningful and effective one.  You may also request copies be sent to your email by emailing us at dewitt@fyzical.com.

If you are an adult patient, please download/fill out the Adult Registration Form and download and keep a copy of our Adult Family Welcome Booklet for your reference.

If you are a pediatric patient, please download/fill out the Pediatric Registration Form and download and keep a copy of our Pediatric Family Welcome Booklet for your reference.

Please visit our Preparing for your Visit page or FAQ page for further information and what to bring to your initial appointment.


Downloadable Forms:

Adult Registration Form

Adult Family Welcome Booklet

Pediatric Registration Form

Pediatric Family Welcome Booklet

Telehealth Informed Consent Form

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