New Patient Paperwork

Please fill out the following forms prior to your first visit. This will allow us to focus all of our time on getting you better!

Ascent HIPAA Notice of Privacy Practices – Do NOT Print, this is just to read

Ascent Patient Information

Ascent Patient Health Questionnaire

Ascent Consent to Treatment

Needling Consent

Contact Info:

Ascent Physical Therapy

400 NE Topaz Dr

Lee’s Summit, MO 64086

(816) 682-1432

Ascent Physical Therapy

©  2018 Ascent Physical Therapy