EW Physical Therapy treating the ROOT of the problem not just the symptoms
 EW Physical Therapy treating the ROOT of the problem            not just the symptoms 

Patient Forms

Complete the following three forms and bring them with you to your first appointment. If you are unable to print the forms, please contact EW Physical Therapy by phone at 847-868-6383 and forms will be mailed to you for completion before your first visit.


1. E.W. Physical Therapy Clinic Policies/Rates and Insurance

EW Physical Therapy Clinic Policiesform.[...]
Adobe Acrobat document [41.1 KB]

2. New Patient Information Form

EW Physical Therapy patient information [...]
Adobe Acrobat document [52.1 KB]

3. Patient History Form

Medical Profile Questionaire.pdf
Adobe Acrobat document [553.3 KB]

E.W. Physical Therapy

777 Lake Zurich Road, Suite 115B

Barrington, IL 60010


Office Hours

Monday: 9-3

Tuesday: 1:30-6:30

Wednesday: 9-3

Thursday: 1:30-6:30

Friday: 8-2


T: 847-868-6383

F: 847-620-0716


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