Copyright © 2017 by Statera Physical Therapy, PLLC. All rights reserved.

  • Please complete Patient Registration Form and bring it with you at your first visit.

  • You can leave a blank if you are not sure what to write. We will help you to complete the form at your visit.

  • We also prepare registration form at our office so you can complete at your visit.

  • We are currently working on implementing online registration process.

  • If Physician or Healthcare clinic, and has a patient to refer for physical therapy treatment...

  • Please complete the referral form and fax to our office at +1. 346. 802. 3187

  • We will contact the patient directly to set up a schedule.

  • Please provide physician information. We will fax the evaluation note and plan of care upon initial evaluation completed.

  • If Attoney, Case manager, Vocational counselor or other provider, and has a patient to refer for physical therapy treatment...

  • Please complete the referral form and fax to our office at +1. 346. 802. 3187

  • We will contact the patient directly to set up a schedule.

  • Please complete provider information. We will fax the evaluation note and plan of care upon initial evaluation completed to both referring provider and patient's physician.

  • If you have a complaint/grievance, please complete this form and mail to our clinic address or fax to our office at +1. 346. 802. 3187.

  • Under Complaint Resolution Policy of Statera Physical Therapy, required actioni will be processed and response will be made.