A Bridge to a Better Life!

Forms

General and Patient Forms

You may fill out any or all of the required forms for your initial visit to the office and email or fax them to us ahead of your visit. Visit the CONTACT page for that info.

CENTRAL PT -  PATIENT INFORMATION FORM

CENTRAL PT - MEDICAL HISTORY FORM

CENTRAL  PT - AGREEMENT-AND-RELEASE-OF-LIABILITY

CENTRAL PT - ASSIGNMENT-of-BENEFITS-FORM

CENTRAL PT - GOLF-INFORMATION-SHEET

CENTRAL PT - CONSENT-RELEASE-FORM

CENTRAL PT - No-Show-Late-Cancellation-Policy

No matter whether your condition was caused by a sport, work
accident or otherwise, we welcome the chance to work with you.
Schedule an Appointment

At Central Physical Therapy, we take pride in making sure that we know what we are treating and determine the best treatment strategy for you. On our part, we will provide you with our expertise, experience, and excellence in physical therapy. Physical therapy 07974, central physical therapy nj, physical therapy in summit nj, physical therapy murray hill nj, Physical Therapy for Golf

Floating Review Template1
  • Jennifer Richter
    Irina has provided excellent treatment for me for several different problems including scar tissue management, diagnosis and treatment of foot pain following ankle surgery, and diagnosis and treatment for TMJ and neck pain. She has also treated both my children. Go to her - she is an amazingly talented therapist and a lovely person. I highly rec... Read More
  • Pat Riley
    Irina is incredible. Irina is a miracle worker and helped me with my knees. I was suffering from arthritis and she was able to bring back greater mobility with less pain. She also helped with lingering neck and shoulder pain from accidents I have had. I recommend her to everyone. She really loves her work, knows her stuff and really cares for he... Read More
  • Dario Trentini
    I am so thankful to Central Physical Therapy. The entire team gives excellent service. Irina and her team did an amazing job for my chronic neck problem. It's so helpful to have tailored exercises to supplement at home, between treatments, not to mention all the extra tips and suggestions to improve my lifestyle. Thank you Irina, you are truly ama... Read More
  • Susan Whittaker
    Central Physical Therapy is amazing. After my six weeks of physical therapy along with the exercise program prescribed for me, I am walking without pain for 7 weeks. I could not have been in better hands. Everything was explained to me as to what they were doing and why. Everyone was so professional, helpful and courteous. It has been a wonder... Read More
  • Michael Dally
    Central physical therapy is amazing Irina and all staff are so caring and helpful all staff treat you like family .if there were 100 stars I would give them I’m so lucky to have them as a team anybody that needs therapy must go to central physical therphy you will b treated like family and results will shock you.
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