Patient Forms

Patient Forms

Going through physical therapy is a new experience for most people. We understand that you may have apprehension regarding the process of recovery. Rest assured, our experts are here to help along the way. 

Please download, fill out, and email the new patient forms to documentation@activomi.com, or fax to 248-800-7888, or print and bring the documents to your upcoming appointment.

To request medical records or submit our patient satisfaction survey, please download, fill out, and email the Medical Records Request Form to documentation@activomi.com or fax to 248-800-7888

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CONTACT US

We are committed to helping you recover and restore health. For more information about our physical therapy services please contact us at (248) 800-7000.

OUR SERVICES

Learn more about the many services we offer including Sports Physical Therapy, Pre-Surgical Rehab, Vestibular/Balance Rehab and much more.