ADDRESS

50 Minnesota St Suite 2
Rapid City, SD 57701

PHONE

605-342-3110

Patient Forms

If you would like to get a head start on the registration process, please complete the pages prior to coming in. Also note there may be some other forms to fill out, such as one specific to your insurance company. Please bring your driver’s license and insurance card on first visit.

New Patient Paperwork

Medical History Page

Hansen Physical Therapy Financial Policy

Cancelation and Attendance Policy

Notice of Privacy Practices

Record Release

Pelvic-Floor-Paperwork FemaleĀ 

Pelvic Floor Paperwork – Male

Pediatric Pelvic Floor Paperwork