Patient Forms
The therapists and staff at Orthopedic & Sport Therapy Services in Rochester and Somersworth, New Hampshire look forward to your visit. Each of our therapists has schedules tailored for your convenience. To schedule an appointment, please call us at the location nearest you.
Rochester, NH (603)330-3337 · Somersworth, NH · (603)692-6626
You may request an appointment online by completing the form below. One of our appointment schedulers will respond to your request within 48 hours. Please do not use this form if you have an urgent medical problem or to re-schedule an existing appointment. If you are a new patient, please print, complete, and bring the forms with you to your visit. This will help to speed up the new patient registration process and get you in to see your therapist faster!
Online Patient Forms
Downloadable Patient Forms
Please note: It may take a few minutes to load the forms if you are using a dial-up Internet Connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.
If you register online, all of your information is transmitted securely and is held in strictest confidence, adhering to HIPAA guidelines and protecting your privacy. You will need to print out a copy of the Privacy Policy, sign it, and bring it to your office visit.