New Patient Information
At Self Solace Physical Therapy, Inc. we strive to make your evaluation as smooth and efficient as possible. One way for you to allow the maximum amount of time during your treatment session for hands on work, is to fill out your new patient forms prior to your treatment. You will receive an email from Self Solace Physical Therapy, Inc. inviting you to sign up. Below you will see step-by-step instructions.
The more information we have the better. If there is any other documentation to assist us in treatment, please feel free to bring or email it to us. We do need your date of birth, phone numbers (cell and home), email, and address. Please read all of the consent forms.
Please call or text us if you have any questions.
Step-By-Step Instructions:
- Click on on the email you received entitled "Action Requested: Self Solace Physical Therapy - You have a form to complete".
- Click on Fill Out Intake Form.
- If you have an existing account with Jane, simply sign in. Otherwise, click Create Account. You are also able to sign in with social media accounts, so you do not need to remember additional passwords.
- Create your profile. Click Continue.
- Step 1 is Profile Information.
- Make sure to enter Mobile Phone, Date of Birth, and Emergency Contact.
- More information is better, but the form will not let you continue until these are completed.
- Step 2 is Credit Card Information.
- We require all patients to have a card on file in order to schedule an appointment. If you are not comfortable leaving a card on file, please contact us to let us know.
- Your card will not be charged unless you do not show up for your appintemnt or fail to give us the proper notice.
- We can take all major payment forms and will take payment from you at the time of your arrival.
- Step 3 is Medical History Information.
- Please ensure to fill out all required fields or it will not let you continue.
- If you failed to fill in a required field, it will turn red.
- Step 4 is Consent Forms.
- Please read them all thoroughly.
- If you have any questions or concerns, please contact us.
- You are DONE!
Patient Portal
Click here to access our patient portal.
Schedule Appointment
Existing patients can schedule an appointment right now with Self Solace Physical Therapy, Inc.
If you are a NEW patient, please contact Self Solace Physical Therapy, Inc. to schedule your Physical Therapy Initial Evaluation.
If you have already completed your Initial Evaluation with Mya Swan, PT, DPT and a current plan of care has been established and communicated to you, you are now able to schedule an appointment online, in accordance with that plan of care. If you have not, or have any questions, please contact our office.
Click here to schedule an appointment.