Facebook
Linkedin
Forms
Students
Home
About Us
TERRIO's Experts
Careers
About TERRIO
TERRIO Covenant
About EIM
Tim Terrio
Community Support
Insurances Accepted
Referral Scripts
Services
Outpatient Physical Therapy
Inpatient/Acute Therapy
School-Based Therapy
Pediatric Therapy
Aquatic Physical Therapy
Early Intervention Program (EIP)
Wellness
Athletic Training
Pilates
Locations
Kern County
Fresno County
Contact Us
Contact TERRIO
Forms
Student Volunteers
Apply Now
Forms
Make Appt.
Login
Home
/
Downloadable Forms
Downloadable Forms
Patient and Employment Forms
Adult Patient Forms
HIPAA Notice - Notice of Privacy Practices
Medical History Form (
English
/
Spanish
)
Consent For Treatment Form (
English
/
Spanish
)
Walk-In Evaluation Form (
English
/
Spanish
)
Employment Application Packet
Application for Employment
Background Consent Form
Background Investigation Disclosure
Fair Credit Reporting Act Summary
Remedying the Effects of Identity Theft