{"id":11242,"date":"2015-04-06T07:32:09","date_gmt":"2015-04-06T07:32:09","guid":{"rendered":"http:\/\/advanceptinc.com\/wordpress\/?page_id=11242"},"modified":"2025-03-10T06:38:42","modified_gmt":"2025-03-10T06:38:42","slug":"apt-download-forms","status":"publish","type":"page","link":"https:\/\/advanceptinc.com\/?page_id=11242","title":{"rendered":"APT Download Forms"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 hundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-overflow:visible;--awb-padding-right:20px;--awb-padding-left:20px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last fusion-column-no-min-height\" style=\"--awb-bg-blend:overlay;--awb-bg-size:cover;--awb-margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\">\n<div class=\"fusion-slider-revolution rev_slider_wrapper\">\t\t\t<!-- START APT_Home_20230904 REVOLUTION SLIDER 6.6.15 --><p class=\"rs-p-wp-fix\"><\/p>\n\t\t\t<rs-module-wrap id=\"rev_slider_18_1_wrapper\" data-source=\"gallery\" style=\"visibility:hidden;background:#ffffff;padding:0;margin:0px auto;margin-top:0;margin-bottom:0;\">\n\t\t\t\t<rs-module id=\"rev_slider_18_1\" style=\"\" data-version=\"6.6.15\">\n\t\t\t\t\t<rs-slides style=\"overflow: hidden; position: absolute;\">\n\t\t\t\t\t\t<rs-slide style=\"position: absolute;\" data-key=\"rs-48\" data-title=\"Slide\" data-thumb=\"\/\/advanceptinc.com\/wp-content\/uploads\/2015\/03\/Large-zen-curved-rocks-e1426321567289-100x50.jpg\" data-in=\"o:0;\">\n\t\t\t\t\t\t\t<img decoding=\"async\" src=\"\/\/advanceptinc.com\/wp-content\/plugins\/revslider\/public\/assets\/assets\/dummy.png\" alt=\"\" title=\"Large-zen-curved-rocks\" width=\"2100\" height=\"1026\" class=\"rev-slidebg tp-rs-img rs-lazyload\" data-lazyload=\"\/\/advanceptinc.com\/wp-content\/uploads\/2015\/03\/Large-zen-curved-rocks-e1426321567289.jpg\" data-no-retina>\n<!--\n\t\t\t\t\t\t\t--><rs-layer\n\t\t\t\t\t\t\t\tid=\"slider-18-slide-48-layer-3\" \n\t\t\t\t\t\t\t\tdata-type=\"image\"\n\t\t\t\t\t\t\t\tdata-rsp_ch=\"on\"\n\t\t\t\t\t\t\t\tdata-xy=\"x:393px;y:184px;\"\n\t\t\t\t\t\t\t\tdata-text=\"w:normal;\"\n\t\t\t\t\t\t\t\tdata-dim=\"w:700px;h:256px;\"\n\t\t\t\t\t\t\t\tdata-frame_1=\"st:300;sp:600;sR:300;\"\n\t\t\t\t\t\t\t\tdata-frame_999=\"o:0;st:w;sR:3080;\"\n\t\t\t\t\t\t\t\tstyle=\"z-index:5;\"\n\t\t\t\t\t\t\t><img decoding=\"async\" src=\"\/\/advanceptinc.com\/wp-content\/plugins\/revslider\/public\/assets\/assets\/dummy.png\" alt=\"\" class=\"tp-rs-img rs-lazyload\" width=\"700\" height=\"256\" data-lazyload=\"\/\/advanceptinc.com\/wp-content\/uploads\/2015\/01\/apt-logo-white-700.png\" data-no-retina> \n\t\t\t\t\t\t\t<\/rs-layer><!--\n-->\t\t\t\t\t\t<\/rs-slide>\n\t\t\t\t\t\t<rs-slide style=\"position: absolute;\" data-key=\"rs-47\" data-title=\"Slide\" data-thumb=\"\/\/advanceptinc.com\/wp-content\/uploads\/2015\/01\/Zen-Nature-Bamboo_large-100x50.jpg\" data-seoz=\"front\" data-in=\"o:0;\">\n\t\t\t\t\t\t\t<img decoding=\"async\" src=\"\/\/advanceptinc.com\/wp-content\/plugins\/revslider\/public\/assets\/assets\/dummy.png\" alt=\"\" title=\"APT Download Forms\" class=\"rev-slidebg tp-rs-img rs-lazyload\" data-lazyload=\"\/\/advanceptinc.com\/wp-content\/uploads\/2015\/01\/Zen-Nature-Bamboo_large.jpg\" data-bg=\"p:center top;\" data-no-retina>\n<!--\n\t\t\t\t\t\t\t--><rs-layer\n\t\t\t\t\t\t\t\tid=\"slider-18-slide-47-layer-1\" \n\t\t\t\t\t\t\t\tclass=\"apt_tagline\"\n\t\t\t\t\t\t\t\tdata-type=\"text\"\n\t\t\t\t\t\t\t\tdata-color=\"#ffffff\"\n\t\t\t\t\t\t\t\tdata-rsp_ch=\"on\"\n\t\t\t\t\t\t\t\tdata-xy=\"x:c;xo:-100px;y:c;yo:-40px;\"\n\t\t\t\t\t\t\t\tdata-text=\"s:65;l:40;\"\n\t\t\t\t\t\t\t\tdata-frame_0=\"x:-50px;\"\n\t\t\t\t\t\t\t\tdata-frame_1=\"st:500;sp:600;\"\n\t\t\t\t\t\t\t\tdata-frame_999=\"st:4400;auto:true;\"\n\t\t\t\t\t\t\t\tstyle=\"z-index:5;font-family:'Lora';text-shadow:rgba(0, 0, 0, 0.498039) 0px 2px 5px\nwhite-space:nowrap;\"\n\t\t\t\t\t\t\t>Restoring Your Health. \n\t\t\t\t\t\t\t<\/rs-layer><!--\n\n\t\t\t\t\t\t\t--><rs-layer\n\t\t\t\t\t\t\t\tid=\"slider-18-slide-47-layer-2\" \n\t\t\t\t\t\t\t\tclass=\"apt_tagline\"\n\t\t\t\t\t\t\t\tdata-type=\"text\"\n\t\t\t\t\t\t\t\tdata-color=\"#ffffff\"\n\t\t\t\t\t\t\t\tdata-rsp_ch=\"on\"\n\t\t\t\t\t\t\t\tdata-xy=\"x:c;xo:100px;y:c;yo:40px;\"\n\t\t\t\t\t\t\t\tdata-text=\"s:65;l:40;\"\n\t\t\t\t\t\t\t\tdata-frame_0=\"x:50px;\"\n\t\t\t\t\t\t\t\tdata-frame_1=\"st:1500;sp:600;\"\n\t\t\t\t\t\t\t\tdata-frame_999=\"st:4400;auto:true;\"\n\t\t\t\t\t\t\t\tstyle=\"z-index:6;font-family:'Lora';text-shadow:rgba(0, 0, 0, 0.498039) 0px 2px 5px\nwhite-space:nowrap;\"\n\t\t\t\t\t\t\t>Empowering To Heal. \n\t\t\t\t\t\t\t<\/rs-layer><!--\n-->\t\t\t\t\t\t<\/rs-slide>\n\t\t\t\t\t<\/rs-slides>\n\t\t\t\t<\/rs-module>\n\t\t\t\t<script>\n\t\t\t\t\tsetREVStartSize({c: 'rev_slider_18_1',rl:[1240,1024,778,480],el:[450],gw:[1100],gh:[450],type:'standard',justify:'',layout:'fullwidth',mh:\"450\"});if (window.RS_MODULES!==undefined && window.RS_MODULES.modules!==undefined && window.RS_MODULES.modules[\"revslider181\"]!==undefined) {window.RS_MODULES.modules[\"revslider181\"].once = false;window.revapi18 = undefined;if (window.RS_MODULES.checkMinimal!==undefined) window.RS_MODULES.checkMinimal()}\n\t\t\t\t<\/script>\n\t\t\t<\/rs-module-wrap>\n\t\t\t<!-- END REVOLUTION SLIDER -->\n<\/div><style type='text\/css'>.reading-box-container-1 .element-bottomshadow:before,.reading-box-container-1 .element-bottomshadow:after{opacity:0.7;}<\/style><div class=\"fusion-reading-box-container reading-box-container-1\" style=\"--awb-title-color:#333333;--awb-margin-top:0px;--awb-margin-bottom:84px;\"><div class=\"reading-box reading-box-center element-bottomshadow\" style=\"background-color:#f6f6f6;border-width:1px;border-color:#f6f6f6;border-top-width:3px;border-top-color:var(--primary_color);border-style:solid;\"><h2>\u201cAdvance Physical Therapy is about empowering individuals to reach their highest level of recovery.\u201d<\/h2><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-background-position:left top;--awb-border-sizes-top:0px;--awb-border-sizes-bottom:0px;--awb-border-sizes-left:0px;--awb-border-sizes-right:0px;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:20px;--awb-padding-bottom:20px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_5_6 5_6 fusion-five-sixth fusion-column-first\" style=\"--awb-bg-blend:overlay;--awb-bg-size:cover;width:82.6666%; margin-right: 4%;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-title title fusion-title-1 fusion-title-text fusion-title-size-two\"><h2 class=\"fusion-title-heading title-heading-left\" style=\"margin:0;\">Download Registration Forms<\/h2><span class=\"awb-title-spacer\"><\/span><div class=\"title-sep-container\"><div class=\"title-sep sep-single sep-solid\" style=\"border-color:#e0dede;\"><\/div><\/div><\/div><div class=\"fusion-text fusion-text-1\"><p><span class=\"fusion-dropcap dropcap\">Y<\/span>ou may contact us directly for assistance with your registration or download and complete the following documents to register as a new patient. To help expedite your registration process, please fax the forms to our office at 650-261-0331. If you need assistance or have questions regarding our registration process, please contact our office at 650-261-0330.<\/p>\n<p>Thank you and we look forward to working with you soon.<\/p>\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-last fusion-column-no-min-height\" style=\"--awb-bg-blend:overlay;--awb-bg-size:cover;--awb-margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-content-boxes content-boxes columns row fusion-columns-3 fusion-columns-total-6 fusion-content-boxes-1 content-boxes-icon-on-top content-left\" style=\"--awb-hover-accent-color:#a0ce4e;--awb-circle-hover-accent-color:#a0ce4e;\" data-animationOffset=\"top-into-view\"><div style=\"--awb-backgroundcolor:transparent;\" class=\"fusion-column content-box-column content-box-column content-box-column-1 col-lg-4 col-md-4 col-sm-4 fusion-content-box-hover content-box-column-first-in-row\"><div class=\"col content-box-wrapper content-wrapper link-area-link-icon link-type-text icon-hover-animation-fade\" data-animationOffset=\"top-into-view\"><div class=\"heading heading-with-icon icon-left\"><a class=\"heading-link\" href=\"https:\/\/advanceptinc.com\/wp-content\/uploads\/2025\/03\/APT-Registration-Form.docx\" target=\"_self\"><div class=\"icon\"><i style=\"border-color:#333333;border-width:1px;background-color:#333333;box-sizing:content-box;height:42px;width:42px;line-height:42px;border-radius:50%;font-size:21px;\" aria-hidden=\"true\" class=\"fontawesome-icon fa-file-alt far circle-yes\"><\/i><\/div><h2 class=\"content-box-heading\" style=\"--h2_typography-font-size:18px;line-height:23px;\">Patient Registration Form<\/h2><\/a><\/div><\/div><\/div><div style=\"--awb-backgroundcolor:transparent;\" class=\"fusion-column content-box-column content-box-column content-box-column-2 col-lg-4 col-md-4 col-sm-4 fusion-content-box-hover \"><div class=\"col content-box-wrapper content-wrapper link-area-link-icon link-type-text icon-hover-animation-fade\" data-animationOffset=\"top-into-view\"><div class=\"heading heading-with-icon icon-left\"><a class=\"heading-link\" href=\"https:\/\/advanceptinc.com\/wp-content\/uploads\/2025\/03\/APT-Insurance-and-Payment-Policy.docx\" target=\"_self\"><div class=\"icon\"><i style=\"border-color:#333333;border-width:1px;background-color:#333333;box-sizing:content-box;height:42px;width:42px;line-height:42px;border-radius:50%;font-size:21px;\" aria-hidden=\"true\" class=\"fontawesome-icon fa-file-alt far circle-yes\"><\/i><\/div><h2 class=\"content-box-heading\" style=\"--h2_typography-font-size:18px;line-height:23px;\">Insurance and Payment Policy <\/h2><\/a><\/div><\/div><\/div><div style=\"--awb-backgroundcolor:transparent;\" class=\"fusion-column content-box-column content-box-column content-box-column-3 col-lg-4 col-md-4 col-sm-4 fusion-content-box-hover content-box-column-last-in-row\"><div class=\"col content-box-wrapper content-wrapper link-area-link-icon link-type-text icon-hover-animation-fade\" data-animationOffset=\"top-into-view\"><div class=\"heading heading-with-icon icon-left\"><a class=\"heading-link\" href=\"https:\/\/advanceptinc.com\/wp-content\/uploads\/2022\/07\/Admin_Privacy-Practice.docx\" target=\"_self\"><div class=\"icon\"><i style=\"border-color:#333333;border-width:1px;background-color:#333333;box-sizing:content-box;height:42px;width:42px;line-height:42px;border-radius:50%;font-size:21px;\" aria-hidden=\"true\" class=\"fontawesome-icon fa-file-alt far circle-yes\"><\/i><\/div><h2 class=\"content-box-heading\" style=\"--h2_typography-font-size:18px;line-height:23px;\">HIPPA Compliance Form<\/h2><\/a><\/div><\/div><\/div><div style=\"--awb-backgroundcolor:transparent;\" class=\"fusion-column content-box-column content-box-column content-box-column-4 col-lg-4 col-md-4 col-sm-4 fusion-content-box-hover content-box-column-first-in-row\"><div class=\"col content-box-wrapper content-wrapper link-area-link-icon link-type-text icon-hover-animation-fade\" data-animationOffset=\"top-into-view\"><div class=\"heading heading-with-icon icon-left\"><a class=\"heading-link\" href=\"https:\/\/advanceptinc.com\/wp-content\/uploads\/2022\/07\/Admin_-Medical-history-form.docx\" target=\"_self\"><div class=\"icon\"><i style=\"border-color:#333333;border-width:1px;background-color:#333333;box-sizing:content-box;height:42px;width:42px;line-height:42px;border-radius:50%;font-size:21px;\" aria-hidden=\"true\" class=\"fontawesome-icon fa-file-alt far circle-yes\"><\/i><\/div><h2 class=\"content-box-heading\" style=\"--h2_typography-font-size:18px;line-height:23px;\">Health Questionnaire<\/h2><\/a><\/div><\/div><\/div><div style=\"--awb-backgroundcolor:transparent;\" class=\"fusion-column content-box-column content-box-column content-box-column-5 col-lg-4 col-md-4 col-sm-4 fusion-content-box-hover \"><div class=\"col content-box-wrapper content-wrapper link-area-link-icon link-type-text icon-hover-animation-fade\" data-animationOffset=\"top-into-view\"><div class=\"heading heading-with-icon icon-left\"><a class=\"heading-link\" href=\"https:\/\/advanceptinc.com\/wp-content\/uploads\/2015\/03\/McGill-Pain-Questionaire-2.pdf\" target=\"_blank\" rel=\"noopener noreferrer\"><div class=\"icon\"><i style=\"border-color:#333333;border-width:1px;background-color:#333333;box-sizing:content-box;height:42px;width:42px;line-height:42px;border-radius:50%;font-size:21px;\" aria-hidden=\"true\" class=\"fontawesome-icon fa fa-file-text-o circle-yes\"><\/i><\/div><h2 class=\"content-box-heading\" style=\"--h2_typography-font-size:18px;line-height:23px;\">Pain Questionnaire <\/h2><\/a><\/div><div class=\"fusion-clearfix\"><\/div><div class=\"content-container\"> <\/div><\/div><\/div><div style=\"--awb-backgroundcolor:transparent;\" class=\"fusion-column content-box-column content-box-column content-box-column-6 col-lg-4 col-md-4 col-sm-4 fusion-content-box-hover content-box-column-last content-box-column-last-in-row\"><div class=\"col content-box-wrapper content-wrapper link-area-link-icon link-type-text icon-hover-animation-fade\" data-animationOffset=\"top-into-view\"><div class=\"heading heading-with-icon icon-left\"><a class=\"heading-link\" href=\"https:\/\/advanceptinc.com\/wp-content\/uploads\/2015\/03\/Medication-List.docx\" target=\"_blank\" rel=\"noopener noreferrer\"><div class=\"icon\"><i style=\"border-color:#333333;border-width:1px;background-color:#333333;box-sizing:content-box;height:42px;width:42px;line-height:42px;border-radius:50%;font-size:21px;\" aria-hidden=\"true\" class=\"fontawesome-icon fa fa-file-text-o circle-yes\"><\/i><\/div><h2 class=\"content-box-heading\" style=\"--h2_typography-font-size:18px;line-height:23px;\">Medication List<\/h2><\/a><\/div><div class=\"fusion-clearfix\"><\/div><div class=\"content-container\"> <\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-background-position:left top;--awb-border-sizes-top:0px;--awb-border-sizes-bottom:0px;--awb-border-sizes-left:0px;--awb-border-sizes-right:0px;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:20px;--awb-padding-right:0px;--awb-padding-bottom:20px;--awb-padding-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last fusion-column-no-min-height\" style=\"--awb-bg-blend:overlay;--awb-bg-size:cover;--awb-margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><style type='text\/css'>.reading-box-container-2 .element-bottomshadow:before,.reading-box-container-2 .element-bottomshadow:after{opacity:0.7;}<\/style><div class=\"fusion-reading-box-container reading-box-container-2\" style=\"--awb-title-color:#333333;--awb-margin-top:0px;--awb-margin-bottom:84px;\"><div class=\"reading-box reading-box-center\" style=\"background-color:#f6f6f6;border-width:1px;border-color:#f6f6f6;border-top-width:3px;border-top-color:var(--primary_color);border-style:solid;\"><h2>Our greatest reward is knowing that what we do best transforms lives with a renewed zest for living pain free.<\/h2><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-4 hundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-overflow:visible;--awb-flex-wrap:wrap;\" 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