Crystal Lake Physical Therapy
  • Home
  • About Us
    • Our Staff
    • Our Practice
    • Our Location
  • What We Treat
    • Arthritis
    • Balance and Gait Disorders
    • Back Pain and Sciatica
    • Chronic Pain
    • Elbow, Wrist and Hand Pain
    • Fibromyalgia
    • Hip and Knee Pain
    • Incontinence
    • Motor Vehicle Accident Injuries
    • Multiple Sclerosis
    • Neck Pain
    • Pelvic Pain
    • Pre-Surgical Rehab
    • Post Surgical Rehab
    • Shoulder Pain
    • Sports Injuries
    • TMJ Dysfunction
    • Vestibular Rehab
    • Work Injuries
    • Myofascial Release
    • MPS/Dolphin Neuro Stim
  • Become A Patient
    • Patient Info/Forms
    • Direct Access
    • Telemedicine
    • Love Your Core Like Before
  • Contact Us
    • Contact Us
    • Write A Testimonial
    • Leave Us A Review
  • Blog
  • Workshops
  • Newsletters
  • Patient Resources

Patient Info/Forms

Picture
Are You Ready To Become A Patient At
Crystal Lake Physical Therapy Inc??

    Fill out the information below and we will be happy to call you to schedule your Initial Evaluation.

Submit
Otherwise, feel free to call or text us at 815.893.8480 to schedule your evaluation.

Download Your New Patient Paperwork


Download your New Patient Packet. You can fill it out online and email your completed forms to cassidy.rietz@crystallakept.com or you can print the packet and bring it to your appointment.

clpt_new_pt_paperwork_updated_2018-fillable_version.pdf
File Size: 427 kb
File Type: pdf
Download File


If you have a prescription from your doctor for physical therapy please bring it with you to your 1st appointment or have your doctor fax it to our office at 815.893.8481
A prescription from a physician is NOT required!


Please bring your insurance card and photo ID to your first appointment.
Wear loose comfortable clothes.
 
Have any questions? Call or text us at 815.893.8480 and we will be more than happy to assist you!

Location

What Our Clients Are Saying

"Friendly and professional staff. Cheerful atmosphere."

"I can not tell you how happy I am to have found Emily and Tara at Crystal Lake Physical Therapy. They are so friendly and truly care about quality care."

Contact Us

  • Home
  • About Us
    • Our Staff
    • Our Practice
    • Our Location
  • What We Treat
    • Arthritis
    • Balance and Gait Disorders
    • Back Pain and Sciatica
    • Chronic Pain
    • Elbow, Wrist and Hand Pain
    • Fibromyalgia
    • Hip and Knee Pain
    • Incontinence
    • Motor Vehicle Accident Injuries
    • Multiple Sclerosis
    • Neck Pain
    • Pelvic Pain
    • Pre-Surgical Rehab
    • Post Surgical Rehab
    • Shoulder Pain
    • Sports Injuries
    • TMJ Dysfunction
    • Vestibular Rehab
    • Work Injuries
    • Myofascial Release
    • MPS/Dolphin Neuro Stim
  • Become A Patient
    • Patient Info/Forms
    • Direct Access
    • Telemedicine
    • Love Your Core Like Before
  • Contact Us
    • Contact Us
    • Write A Testimonial
    • Leave Us A Review
  • Blog
  • Workshops
  • Newsletters
  • Patient Resources