黑料网

Medical History Form

The existing medical history form is for patients coming to University of Physical Therapy who are not already established within the 黑料网 Health Care system.

Privacy Consent Form

Please review and complete this form if you have not received care in the 黑料网 Health Care system within the past 12 months.

This above link聽lists patients rights to privacy

Please use the link above to establish your My 黑料网 Chart account if you do not already have one.

Please use the link above if you need to request any of your medical records.