Before your appointment
Patient Intake Forms
Your paperwork for care at VERT Sports Therapy in West Los Angeles.
Patient intake packet
10 pages · PDF · Updated October 2026
Patient information, insurance information, medical history, financial agreements, privacy notices, and consent for physical therapy. Please bring your insurance card (front and back) to your first visit.
Download original print-only packetBring your completed forms
Download the fillable packet and open it in Adobe Acrobat Reader to enter your answers, select options, and save a completed copy. Then print it, sign every signature line by hand in ink, and bring it to your appointment. Typed signatures are not accepted.
The body diagram can be marked with Reader’s drawing tools. Card details are not fillable—arrange your card on file directly with our office. The website does not receive your answers.
Please do not email completed forms, card details, or medical information. For another way to return your paperwork, call our office.
(310) 264-838512400 Santa Monica Blvd
Los Angeles, CA 90025