Intake Complete

Home / Intake Complete

Thank you for submitting your patient intake!

If you have filled this out on-site, please return the tablet to the front desk.

If you have not done so already, please call our office at your convenience to schedule your first appointment at the information below. Should you have any questions prior to your first visit, feel free to give us a call! We look forward to working with you!

Complete Physical Therapy
4220 Pioneer Woods Drive
Lincoln, NE 68506
Office: (402) 483-0006
Fax: (402) 483-0382

(NOTICE: We advise against e-mailing any health information or forms as e-mail is not a secure or HIPAA approved method for exchanging Personal Health Information (PHI))