Physical Therapist
  • Home
    • How ProFormance is Different
    • Meet Dr. Duggan and Staff
    • What People Say About ProFormance
    • Wall of Fame Clients
  • Services
    • Huntsville Physical Therapy
    • Athens Physical Therapy
    • Crossfit, Baseball, and Running Performance Screens and Training
    • Comprehensive Wellness One Stop Shop
    • Dry Needling
    • Stretch Clinic
    • BFR: Blood Flow Restriction
  • Patient Info
    • New Patient Paperwork
    • Buy Supplies
    • Insurance and Billing
    • FAQ
    • Pay Your Bill
  • Crossfits and Sports Teams
  • Blog & News
  • Contact

New Patient Paperwork

Patient Treatment Referral

PLEASE NOTE: Alabama has direct access for physical therapy as of June 1, 2024. This means that you can come see us for an injury, prevention of injury, or performance enhancement without having to see someone else first. 
However, s
ome insurances require a referral regardless.  A referral for treatment can also come from an MD, DO, Physician’s Assistant (PA), Nurse Practitioner (NP), Dentist, Podiatrist, or Chiropractor licensed anywhere in the United States. You can bring the referral with you or have him/her fax it to 256-513-9952. 
**Wellness services do not require a referral**
patient_referral_form.pdf
File Size: 142 kb
File Type: pdf
Download File


New Patient Packets

Please download the Intake Forms along with only one survey specific to your problem. Download the PDF files, print, and fill out all forms prior to your first appointment. If you have any questions, please call our office at 256-203-3804.
Patient Intake Forms
File Size: 349 kb
File Type: pdf
Download File

Shoulder, Elbow, Hand
File Size: 66 kb
File Type: pdf
Download File

Hip, Knee, Ankle, Foot
File Size: 241 kb
File Type: pdf
Download File

Neck
File Size: 21 kb
File Type: pdf
Download File

Back
File Size: 23 kb
File Type: pdf
Download File

TMJ
File Size: 658 kb
File Type: pdf
Download File

Headache only
File Size: 89 kb
File Type: pdf
Download File

Global Pain
File Size: 193 kb
File Type: pdf
Download File

Dizziness
File Size: 648 kb
File Type: pdf
Download File


Medical Record Release Authorization

If you feel that you have medical records you would like me to review and consider while creating your plan of care, please download, print, and fill out the first page. Bring both pages with you to your evaluation. You may also email, fax, or snail mail them to me prior to your evaluation, so I can go ahead and fax them to your other medical provider.
Medical Record Release Authorization
File Size: 231 kb
File Type: pdf
Download File


Patient Privacy Notice

privacy_policy.pdf
File Size: 158 kb
File Type: pdf
Download File

CONTACT ProFormance TO START LIVING pain free now!


Huntsville Location

Inside Crossfit Invigorate
​162 Export Circle NW
​Huntsville, AL 35806

Athens
​Location

Inside Life Changing Fitness
​1104 Annie Ruth Jamar St
Athens, AL 35611
​​

Contact numbers

Scheduling: 256-203-3804
​
Billing: 256-203-0376
​Fax: 256-513-9952

Email

[email protected]​

​Hours

Mon-Fri: 8am - 5pm

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  • Home
    • How ProFormance is Different
    • Meet Dr. Duggan and Staff
    • What People Say About ProFormance
    • Wall of Fame Clients
  • Services
    • Huntsville Physical Therapy
    • Athens Physical Therapy
    • Crossfit, Baseball, and Running Performance Screens and Training
    • Comprehensive Wellness One Stop Shop
    • Dry Needling
    • Stretch Clinic
    • BFR: Blood Flow Restriction
  • Patient Info
    • New Patient Paperwork
    • Buy Supplies
    • Insurance and Billing
    • FAQ
    • Pay Your Bill
  • Crossfits and Sports Teams
  • Blog & News
  • Contact