Forms

Patient Registration

Please call us at 310-553-5984 to book your appointment.

Once your appointment is booked, you may get started by filling out our online Patient Registration Form:

Printed PDF Forms

Here are links to download our forms (in PDF format) for your convenience:

• Patient Intake Form

• Patient Health Questionnaire

• HIPPA Rights

• Back Index

• Neck Index

• Lower Body

• DASH (Disabilities Arm Shoulder Hand)

• Fabrizio PT and SM Patient Info and Practices

Insurance

Medicare, Blue Shield and most private insurances are accepted.

Give us a call at 310-553-5984 or email reception@fabrizioptsm.com to see if your insurance plan is accepted.