Back In Action Physical Therapy

Get back to what you love!

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Forms to Download

You can download, fill out, and print our Intake form before your first appointment if you prefer. Don't forget to bring it with you!

Download Intake form

You can also download our Privacy statement, Privacy Acknowledgement, and Consent for Treatment forms here.

Download Privacy statement
Download Privacy Acknowledgement
Download Consent for Treatment statement



 


Back In Action Physical Therapy - Ted Ellquist, PT - 2119 NE Halsey St., Portland, Oregon 97232
Appointments: (503) 445-4936 - Clinic: (503) 517-8996 - Fax: (503) 517-8590 - info@backinactionpt.com
Above contact information valid until March 12.