Thank you for choosing Alta for your physical therapy needs. In order to provide you with the highest level of service, please complete the four pre-registration forms listed below. Click on the form name to download a PDF copy of each form.

Please print all the forms and fill them out completely.
Fax them to Alta at (212)956-8442 or bring them with you to your first appointment.

Your answers will fill us in on your current physical condition so that we can more easily identify your needs, and will enable us to accurately bill your insurance.

If you have questions or need assistance, please feel free to contact us at (212)956-2900.

Download PDF forms

New Patient Registration
Patient Agreement
Privacy Notice

The forms are in PDF format. If you don't have Adobe Acrobat Reader, please click here to download a free copy.