Huntley Physical Therapy
  • Home
  • About Us
    • Our Practice
    • Our Staff
    • Our Location
  • What We Treat
    • Arthritis
    • Balance And Gait Disorders
    • Back Pain and Sciatica
    • Chronic Pain
    • Elbow, Wrist and Hand Pain
    • Fibromyalgia
    • Hip and Knee Pain
    • Incontinence
    • Motor Vehicle Accident Injuries
    • Multiple Sclerosis
    • Neck Pain
    • Parkinson's Disease
    • Pelvic Pain
    • Pregnancy and Postpartum
    • Pre-Surgical Rehab
    • Post-Surgical Rehab
    • Shoulder Pain
    • Sports Injuries
    • Work Injuries
  • Become A Patient
    • Patient Info/Forms
    • Direct Access
    • Telemedicine
  • Blog
  • Newsletters
  • Classes
  • Contact Us
    • Contact Us
    • Leave Us A Review
    • Write a Testimonial
  • Patient Resources

Patient Intake Form

At Huntley Physical Therapy Inc. we want to maximize your time with us. Prior to your first visit, please fill out the new patient intake form below and submit it. Please be sure to fill out the New Patient Paperwork packet and bring it with you to your visit.  You can also save and email the completed forms to kathryn.pena@huntleypt.com
Please note that no personal information from this form will be stored on our website database. All information is securely directed and saved in our clinic’s Electronic Medical Record (EMR) system where all data is encrypted. The patient information will only be used by the clinic and will not be passed on to any third party.

Location

What Our Clients Are Saying

"Friendly and professional staff. Cheerful atmosphere."

"I can not tell you how happy I am to have found Emily and Tara at Crystal Lake Physical Therapy. They are so friendly and truly care about quality care."

Contact Us

9708 N. IL Route 47
Huntley, IL 60142

P:847.582.0050,  F:847.582.0051
www.HuntleyPT.com
  • Home
  • About Us
    • Our Practice
    • Our Staff
    • Our Location
  • What We Treat
    • Arthritis
    • Balance And Gait Disorders
    • Back Pain and Sciatica
    • Chronic Pain
    • Elbow, Wrist and Hand Pain
    • Fibromyalgia
    • Hip and Knee Pain
    • Incontinence
    • Motor Vehicle Accident Injuries
    • Multiple Sclerosis
    • Neck Pain
    • Parkinson's Disease
    • Pelvic Pain
    • Pregnancy and Postpartum
    • Pre-Surgical Rehab
    • Post-Surgical Rehab
    • Shoulder Pain
    • Sports Injuries
    • Work Injuries
  • Become A Patient
    • Patient Info/Forms
    • Direct Access
    • Telemedicine
  • Blog
  • Newsletters
  • Classes
  • Contact Us
    • Contact Us
    • Leave Us A Review
    • Write a Testimonial
  • Patient Resources