Client Forms | Muscatine Physical Therapy Services P.C.

Client Forms

New patients at MPTS are required to fill out some forms to help us understand your medical history and the symptoms of your injury or condition. We’ve provided copies of these forms for your convenience. You may print them and fill them out at your leisure prior to your first visit. Filling these forms at home will save you time before your appointment and give you the opportunity to complete them accurately. If you are not sure about any of the information, just keep it blank and we can go over it with you and help you finish completing it when you come into our office

Client Medical Form (English)Client Medical Form (Español)Payment Policy

Our Privacy Policy

We value the importance of protecting your privacy rights as a patient. To learn more information about your rights and the protection of your health information, as mandated by federal law, click on the links below.

Client Privacy Info(English) Client Privacy Info (Español)

HIPAA Privacy Information

Protecting the privacy of your health information is important. The Health Insurance Portability and Accountability Act (HIPAA) is a federal law that protects sensitive medical and health information for all patients. For more information on your HIPAA rights,

HIPAA Privacy Summary Sheet>

  • Contact Us

    Muscatine Physical Therapy Services, P.C.
    2109 Cedarwood Drive
    Muscatine, Iowa 52761
    (563) 288-6787 ph
    (563) 288-6719 fax

    West Liberty Physical Therapy
    1103 North Elm Street
    West Liberty, Iowa 52776
    (319) 627-6809 ph
    (319) 627-6810 fax

    Columbus Junction Physical Therapy
    104 North Main Street
    Columbus Junction, Iowa 52738
    (319) 728-4441 ph
    (319) 728-4442 fax