Pearland 713-436-3900
Pasadena 281-998-8600
Clear Lake 281-724-0300
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Forms

New Patients - We encourage you to save time by printing out and completing these forms prior to your visit.  If you are unable to, please remember to arrive 30 minutes before your scheduled appointment.  If you do print out and complete the forms below, you still need to arrive 10-15 minutes prior to scheduled appointment time.  We look forward to working with you because "Making You Better Is Our Only Business!"

 

For all our new patients: New Patient forms

Para nuestros pacientes de habla española: Formulario de inscripción

Also, please download and print the form below that fits your condition:

Clear Lake
ProActive Physcial Therapy Centers, PLLC
250 Blossom St.
Suite 240
Webster, TX 77598
Tel. 281-724-0300
Fax 281-724-0310
Pasadena Clinic
ProActive Physcial Therapy Centers, PLLC
4600 Fairmont Pkwy
Suite 205
Pasadena, TX 77504
Tel. 281-998-8600
Fax 281-998-8604
Pearland Clinic
ProActive Physical Therapy Centers, PLLC
10223 W. Broadway
Suite B
Pearland, TX 77584
Tel. 713-436-3900
Fax 713-436-3904