ADDRESS

50 Minnesota St Suite 2
Rapid City, SD 57701

PHONE

605-342-3110

Patient Forms

If you would like to get a head start on the registration process, please complete the pages prior to coming in. Also note there may be some other forms to fill out, such as one specific to your insurance company. Please bring your driver’s license and insurance card on first visit.

Patient Intake Paperwork

Medical History Page

Hansen Physical Therapy Financial Policy

Cancellation and Attendance Policy

Notice of Privacy Practices

Record Release

Female Pelvic Floor Paperwork

Male Pelvic Floor Paperwork

Aquatic Therapy Consent