Dedicated to helping you live your Best Life.
Dedicated to helping you live your Best Life.

Patient Forms

For your convenience, we've provided our patient registration forms in an easy to open packet that can be downloaded directly from our website. You can print and complete these documents in advance and bring them to your first appointment. If you have any questions about these forms or you would like to fill them out at our office, please arrive 10-15 minutes early on the day of your appointment to allow time to complete your forms.

Patient Registration Forms Packet, please print all forms and complete before your first visit.  Thank you! 

Guidelines Form
BLPT Registration 2019 Guidelines for Ph[...]
Adobe Acrobat document [278.7 KB]
Patient Registration Cover Sheet
BLPT Registration 2019 Patient Registrat[...]
Adobe Acrobat document [263.7 KB]
Medical History Form
BLPT Registration 2019 Medical History.p[...]
Adobe Acrobat document [255.3 KB]
Authorization for Release of Records
BLPT Registration 2019 Authorization for[...]
Adobe Acrobat document [281.4 KB]
Consent for Care and Privacy Practices
BLPT Registration 2019 Consent For Care [...]
Adobe Acrobat document [302.2 KB]

If you are a Dry Needling Patient, please also complete the Dry Needling Consent

Dry Needling Consent Form 2019
Please use this form to consent for Dry Needling. Thank you!
Dry Needling Consent.pdf
Adobe Acrobat document [64.9 KB]

Compensation Liability Forms

Includes Notice of Assignment & Lien
Compensation Liability Forms.pdf
Adobe Acrobat document [576.2 KB]

Here is a brief description of the core documents above:


1. Guidelines and Policies

This form provides you with a general overview of what to expect when you arrive at our clinic, and also describes our cancellation/no-show policy.


2. Patient Registration

This helps our staff begin building your patient profile by providing us with basic information we need to get you started at Best Life Physical Therapy and Sports Medicine.


3. Medical History

This is a questionnaire that helps us to develop the safest and most effective course of treatment based on your individual needs.


4. Authorization for Release of Records

This is an important form that allows us to share your treatment progress with your doctor and other therapists in our clinic.


5. Consent For Care and Privacy Practices

This form covers multiple areas including consent for care and treatment, financial responsibilities, and notice of privacy practices.


Best Life Physical Therapy and Sports Medicine

Visit us at any of our three Virginia Beach locations:


2404 Potters Rd, #400, 23454


Flex Gym 4020 Bonney Rd #112, 23452


550 First Colonial Rd, 23451


Don't let pain keep you from living your Best Life.

Call to today to schedule an appointment:

office: 757-961-5888 

fax: 757-340-6210


Or use our contact form.

Direct Access

You can receive physical therapy at Best Life Physical Therapy without a doctor's prescription (and we can still bill through insurance).  This saves both time and money. Schedule an appointment today.

News and Programs

At Best Life Physical Therapy, we are plugged into latest in physical therapy news and techiniques.  You can trust that the latest reasearch and cutting-edge techniques are being encorporated into your treatment plan.  We also offer specialized programs to meet your needs.  


Check our latest updates and

browse upcoming programs.


Questions about your first appointment? Find out more information below.

Frequently Asked Questions.

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Visit us at any of our three Virginia Beach locations: 2404 Potters Rd, #400, 23454 Flex Gym 4020 Bonney Rd #112, 23452 550 First Colonial Rd, 23451 Office: 757-961-5888 Fax: 757-340-6210 LIVE YOUR BEST LIFE.