Get in touch

Whether you have a specific question or you want to be our next patient, we would love to hear from you. We have set out a straight forward form to make life easy. See you soon.

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Patient forms

New patient intake

Any new patient will need to fill in our New Patient Intake form when making an appointment. Why not save time by filling in the form and submitting online before your appointment?

Testimonial

We love using our clients’ testimonials in our marketing. If you are interested in providing one for us, we’d be thrilled. For a testimonial template and photo release form please contact us at welcome@elevateptme.com or (207) 222-8055 or use the button below to download the form.

Medical release authorization form

Any patient who wants to have their medical records released will need to fill in our Medical Release Authorization Form and provide to Elevate Physical Therapy before any records can be released.

HIPAA notice of privacy practices

Elevate Physical Therapy LLC
14 Vista Dr, Suite 100,
Gorham, ME 04038

Phone: 207 222 8055
Fax: 207 222 8053

E-mail: welcome@elevateptme.com

Book in now

 

Take control of your pain and book an appointment today. Our unique approach will not only get you back on track, it will also equip you with the tools you need to stay pain free, giving you the independence you crave.