Drop Your Block Here
Family Care Physical Therapy
Drop Your Block Here
Welcome, new patients!
Buffalo Call 716-440-1118, Williamsville call 716- 631-2626
Buffalo Call 716-440-1118, Williamsville call 716- 631-2626
Drop Your Block Here
Tired of filling out paperwork during your appointment time?
Print the intake forms listed below to get a head start on your road to recovery!
Please click on the buttons below to begin the registration process in our database,
as everybody must fill out the following forms:
Print the intake forms listed below to get a head start on your road to recovery!
Please click on the buttons below to begin the registration process in our database,
as everybody must fill out the following forms:
Insurances Accepted at FCPT
Medicare
Independent Health
Your Care
Blue Cross/Blue Shield
Community Blue
Independent Health
Your Care
Blue Cross/Blue Shield
Community Blue
Workers Compensation
No Fault
Aetna
Nova
Humana
No Fault
Aetna
Nova
Humana
United Healthcare
Pomco
GHI
Cigna
MVP
Pomco
GHI
Cigna
MVP
Please click each form button below.
Then print each form. Please fill out questions completely.
Bring in to your appointment.
Then print each form. Please fill out questions completely.
Bring in to your appointment.
Patient Intake form
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Insuance Waiver
& Attendance policy
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Authorization to pay benefits
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Consent form
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