Patient Forms

Thank you for choosing Southeastern Physical Therapy for your rehabilitation needs. Please arrive 15 minutes early for your first visit to fill out necessary and helpful paperwork. At this time you will be asked to present your prescription (unless it was already sent over by your doctor), your photo ID and proof of insurance. The evaluation will take about one hour. Please wear loose and comfortable clothing; if possible, something that can easily expose your injured area.

Below are the necessary forms helpful to fill out ahead of time prior to your first visit.


At Southeastern Physical Therapy, we continually strive to give our patients the best treatment with the best care from our therapists and staff. With the help of our patients and Patient Satisfaction Survey, we are able to understand how we can make Southeastern Physical Therapy the best choice for patients in need of physical therapy!

Patient Satisfaction Survey (online submission)

Patient Satisfaction Survey (Print and Mail)

If you are satisfied with our patient care and would like to refer a family member or friend, please be sure to participate in our Patient Reward Program (PRP).

Patient Referral Program (PRP)Form