HEALING TOUCH PHYSICAL THERAPY AND REHABILITATION
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  • Home
    • Welcome
    • Why We Are Open On Sundays?
    • Business Promotions >
      • Grow Your Business Massively
      • Massively Grow Your Business
  • About Us
    • Who is J Peruvingal
    • How I became a PT
    • Secrets About Physical Therapy
    • Why
    • Our Achievements
    • Treatment Approach
    • Outcome Based Therapy
    • Community >
      • Kids Eating Free
      • Good Deeds
      • WIN 3 Teletherapy Package
      • Free HTPT Game
      • Adult Day Care
      • Running Program
      • Community Listings
      • Color HTPT Hero
      • Letter to Kids
      • YEP
      • Indian Dishes In Minutes
    • Inventions & Awards
    • Advertise With Us
    • Secrets on Growing Your Business
  • Success Stories
    • Reviews
  • Shop
    • Physical Therapy Care Package >
      • 3 Visit PT Care Package
      • 5 Visit PT Care Package
      • 10 Visit PT Care Package
      • 20 Visit PT Care Package
    • Tele-Therapy Session
    • Pain Free Supplies
    • Testing Services
    • Employment Testing & training
    • Gift Certificates
    • PRODUCTS TO MAKE YOU POSITIVE
    • Educational Books
    • Digital Download
    • Grow Your Business >
      • A-Z Description for a Thriving Physical Therapy Practice
    • Y.E.P. Products
    • Members Only
  • Contact
    • Request Appointment
    • Our Team
    • Unlimited PT Package (6 Months)
    • Refer a Friend
    • Request Referral Pad
  • Blog
    • News
  • Patient Center
    • Survey
    • New Patient Forms
    • Patient Education/ Newsletters
    • Medical Insights
    • Participating Insurances
    • Home Exercise Program
    • Workshop
    • Discharged Client Gifts
    • Educational Materials
    • Resources
  • Free Webinar

Patient Intake Form

Please fill this form entirely before your first visit. Information entered here is secured.
By submitting this form you are agreeing  to our following terms and conditions
  1. Consent to Treatment: I consent to rehabilitation and related services at Healing Touch Physical therapy & Rehabilitation. In so doing, I understand, acknowledge and affirm that such rehabilitation and related services may involve bodily contact, touching, and/or direct contact of a sensitive nature.
  2. Treatment of Minor: I, as a parent/guardian of a minor receiving treatment hereunder, do hereby agree and understand that I have been advised to remain on the premises during any such treatment, and waive any claim I may have resulting from failure to do so.
  3. Liability: I know and agree that Healing Touch Physical Therapy and Rehabilitation P.C. is not responsible for loss or damage to personal valuables.
  4. Authorization of Payment: I hereby assign all benefits directly to Healing Touch Physical Therapy and Rehabilitation P. C. and authorize release of any medical records necessary to facilitate my treatment to process medical claims and as otherwise permitted or required in the Notice of Privacy Practices. I understand fully that in the event my insurance company or financially responsible party does not pay for the services I received, I will be financially responsible for payment.
  5. Appointment: I understand that I need to inform the office of any cancellations 24 hrs prior to any scheduled appointment. There is a mandatory fee of $40 for no shows. The fee must be paid before making any future appointments with us. (Do not be rude and inconsiderate of others who want to make an appointment). 
Corona Virus ​COVID-19 Updates
ARE YOU COMMITTED TO PUTTING AN END TO YOUR PAIN OR ARE YOU MERELY INTERESTED TAKING CARE OF IT?
Before you spend any money on deductible or co-pays, find out for FREE if Physical Therapy would help. Get a FREE personalized report to know if we can help your pain? By answering only 3 questions!
Any ordinary person can become a Hero by doing ordinary things in an extraordinary way
You are a HERO to someone and every Hero needs to be PAIN FREE!
Complimentary transportation is available to all our patients so what are you waiting for? Call and ​Schedule an Appointment now and be pain free.
Physicians.. Team-up with us to improve the quality of your patients
FREE Educational Workshop at the clinic every Thursday at 9:30 pm - Get details
Pain free body + Confident mind = Powerful Human Being
Fair Warning!
​Message to our competitors:
Either play at our level or be prepared to be dominated by Healing Touch Physical Therapy. 
As long as Healing Touch Physical Therapy is in business people will have options to not get "short changed" when it comes to Physical Therapy.​
We were here for more than 2 decades pre-corona and we will be here post corona to make you pain free*. All things are difficult before they are easy. ​Never ever give up, hang tough in 2020!
Many people think their physician or insurance company determines where you go for physical therapy. The choice is yours.
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$100 Gift Certificate for FREE!
Message from Operations Manager
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We feel if we serve more locations, the quality to provide superior Physical Therapy service would be compromised.

Location

1605 Hillside Ave,
​​New Hyde Park, NY 11040
516-616-0942
We are open
Mon - Fri: 7:00 am - 10:00 pm
Saturday: 9:00 am - 5:00 pm
​Sunday: 1:00 pm - 8:00 pm

Quality without any compromises since 1999.

“There are some people who are excellent at what they do. And then there are people who are sincere, caring and kind hearted. You happen to be both, and for that I am very grateful." Claurine
Elite 1 on 1 Care
​We are on a mission to make as many people as we can pain free* but we need your help - post a 5 star review of us on google so many people can be helped.
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Request a free report on how we treat cause of pain and Free gifts by calling our pre-recorded line at 347-601-HTPT or sign-up now.
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Considering the convenience of people doing evening and night shifts we are moving closing time on Monday and Thursday from 9 pm to 10 pm starting October 2018. Also, we are open on Sunday's from 12 pm to 8 pm.
If you want to save the world, call any fictional hero but if you want a pain free body* call HTPT hero at (516) 616-0942
 Why are you taking chances with your health?- Trust your health to the best
HTPT Hero is in relentless Pursuit for pain relief: OUTCOME BASED THERAPY
Everyone we meet is someone's child and is loved very much; it is our honor to give them a pain free body*
MUSCULOSKELETAL TESTING IS A GAME CHANGER IN PHYSICAL THERAPY AND IT IS AVAILABLE HERE!
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