Patient Forms

+See What Our Clients Are Saying


Checklist of things to bring to your appointment :

  1. Health insurance card(s) (does not apply to workers compensation patients)

  2. Signed therapy prescription

  3. Picture ID/driver’s license

  4. Completed forms (click on links below to get forms)

Use the links below to print your forms

Private Insurance, Workers Compensation,
and Cash Patients

Medicare Patients    

Additional Misc. Forms

We offer many services including:

  • Custom splints

  • Dynamic splints

  • Prefab splints

  • Ultrasound

  • Electrical stimulation

  • Iontophoresis

  • Paraffin

  • Infrared light/laser therapy

  • Hot/cold packs

  • Soft tissue/joint mobilization

  • Scar management

Common diagnoses treated:

  • Fractures

  • Dislocations/ligament repair

  • Tendon injuries and repairs

  • Carpal/cubital tunnel syndrome

  • Trigger finger/thumb

  • Dupuytren's disease

  • DeQuervain's tenosynovitis

  • Lateral/Medial epicondylitis

  • Thoracic outlet syndrome

  • Los Angeles Hand Therapy

Our Staff:


Kimberly Ford