Forms

If you scheduled your first appointment online, you ONLY need to download the “Patient Pain Diagram“. (The other forms were completed during the online scheduling process.) Otherwise, please download the other forms and bring them completed to your next appointment, email them to admin@journeyphysicaltherapy.com, or fax them to 773-883-2336. If you can not complete these forms prior to your appointment, please arrive 15 minutes early to complete them.

We want to make the most of the time we have at your appointment. Thank you!

Download Individual Forms

If you would like to download all forms in one click below:

Have questions or interested in becoming a patient? Click below for more information.
Location

Roscoe Village
773-883-2337
2250 West Belmont Avenue
Chicago, IL 60618