Upload New Patient Form

If you are a new patient to STARS please follow the steps below.

  1. Please download our New Patient Form **
  2. Save it to your computer
  3. Fill it out
  4. To submit the form you can either:
    1. Print it out and bring it in with your visit
    2. Fill out the below section on this page and attach your file by browsing for it on your computer and then click submit!

**If you are interested in our Pediatric Clinic, please use the Pediatric New Patient Form.

Upload Patient Form

Your Name (required)

Your Email (required)

Additional Information We Should Know

Upload Your File


Privacy Notice: STARS Physical Therapy adheres to the HIPAA standards for privacy of medical information. STARS does not save private information on this website, either in form or in its database. All submission are immediately forwarded to STARS administrative offices, with all information sent over secure internet. As a member of the St. Alphonsus health network, STARS adheres to St. Alphonsus’ HIPAA standards. Detailed information on our HIPAA standards can be found here.


By clicking  submit button you are agreeing to the Saint Alphonsus Privacy Policy.

 

newpatientpediatricpaatientrightsprivacy