Back On Track Physical Therapy
         
 
Put Your Trust in Boston's Largest Aquatic Therapy Group
Phone 1-877-GET BACK | Fax 617-730-5461
 
 
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New Patient Information

At Back On Track, we pride ourselves on providing a caring, understanding, and comfortable environment for healing. Our mission is to help make life better for the patients referred to our care. We want you to get “Back on Track” and free from pain and disability.

Please fill out any applicable forms below to help us begin your treatment as soon as possible.

Intake Questionnaire [pdf]

New Patient Questionnaire [pdf]

Minor Consent Form [pdf]

Minor Consent Form [pdf] - en Español

Medicare Patients Only
Home Health Care Waiver [pdf]

WC/MVA Patients Only
Group Health Insurance Affidavit/Waiver [pdf]
Group Health Insurance Affidavit/Waiver [pdf] - en Español
Assignment, Lien [pdf]