Our Forms

New Patient Forms

To save you time before your first appointment you may download and print the new patient paper work. Complete all pages and bring to your first appointment with your insurance card.

Seniors or those with Medicare as their primary insurance should download the Medicare forms.

All others should download the non-Medicare forms.

Even if you complete the paper work at home it is always a good idea to try and come 5 minutes early in case you have difficulty finding us.

Follow-up Self Assessment Form

Completing the Self Assessment Form helps us measure your improvement in therapy and give appropriate feedback to your doctor.  Click the link below to download and print the form. 

Once you have completed the form you may fax it to us at 408-774-0851 or mail it to:

Lucas Physical Therapy and Fitness
1322 S Mary Ave
Sunnyvale, CA  94087