Patient Forms

Patient Forms

If you feel like you could benefit from our wellness and rehabilitation services at Central Oahu Physical Therapy, please download the physician referral form below:

COPTS Physician Referral Form


New Patients: If you have already scheduled your initial evaluation with one of our excellent physical therapists, you may download the new patient intake and consent forms below, fill it out, and bring it to your initial visit.

COPTS Patient Intake & Consent Forms

COPTS Liability Waiver Form

COPTS Liability Waiver 2

**If you are seeing a therapist for pelvic floor rehabilitation, please download the pelvic floor intake and consent forms instead.

  • Please fill out these forms ONLY if you are being treated for pelvic floor condition – All other patients may fill out the intake & consent forms above**

COPTS Pelvic Floor Rehab Intake Form

COPTS Pelvic Floor Rehab Consent Form

  • I've benefited in so many ways: improved my functionality, learned to re-educate my muscles "slowly", and continued to maintain a pro-active attitude by taking control of my healing.

    C.O. - CoPT Patient

  • I appreciate, very much, that you thoroughly explained the purpose of the exercises - it is more meaningful when doing the exercise, to know its purpose.

    C.C. - CoPT Patient

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