Skip to main content

New Patient Forms

Download your new patient forms.

Complete the fillable PDFs, then print them or send them to our office before your visit.

How it works

  1. Tap Download below — each file is a fillable PDF.
  2. On a phone, open the downloaded file in Adobe Acrobat Reader (iOS / Android) to type and save your answers. On a computer, type directly in your browser or PDF reader.
  3. Save and email to miclinics@gmail.com, fax to (248) 208-7494, or bring the forms to your visit.

New Patient Forms

New Patient Information

Required for all new patients. Type into the PDF or print and complete by hand.

Medical History

Helps your therapist tailor your evaluation and care.

Consent Form

Authorization and consent for physical therapy treatment.

Call to book · (248) 208-7492