New To Balance

Welcome to Balance Physical Therapy where all your pains and physical goals can be addressed by experienced, caring physical therapists. Unlike many other practices where you receive only 20-30 minutes of treatment, often with a paraprofessional who lacks specialized training, we at Balance Physical Therapy believe in giving our patients an abundance of our time and attention. A first session at Balance typically entails a 60-minute evaluation with one of our Masters or Doctorate-level physical therapists who will work directly with you to produce a strategic plan to answer your pain, goals, and needs. Your second visit will be a 40-minute session with the same physical therapist. Our strength and conditioning sessions are typically an hour long.

Whether you’ve come to us on the recommendations of your friends or physician, your first step to scheduling your first appointment is to give us a call at 603-890-8844.

After You Have Scheduled Your First Appointment

If you have already scheduled your first appointment, then your next step is equally important; you need to print and fill out our General Patient History Form.

Please also review our Financial and Cancellation Policies. We require 24-hours notice in the event of a cancellation or rescheduling. We also are required to have you read The Health Insurance Portability and Accountability Act (HIPAA) form. Once you have read our policies and HIPAA, please sign the Patient Release Form and bring it to your first appointment.  
If you are joining us for Exercise Training, please read and sign the “Exercise Release” form. 

At Balance Physical Therapy, we want you to feel as comfortable as possible, both emotionally and physically. Please feel free to call our office with any questions or concerns. Our office telephone is 603-890-8844.

Prefer to fill out our forms in our office?

Please arrive 10-15 minutes early to do so. Our physical therapists require all the time in your first appointment to work directly with you, so please arrive early if you need extra time for paperwork.  

For Your First Appointment, Please Remember:

  1. General Patient History Form or Neck and Back History Form
  2. Patient Release Form ( (Please read the HIPPA, Financial and Cancellation Policies listed below and then sign this Patient Release Form)
  3. HIPPA Policy (Please Read)
  4. Financial and Cancellation Policies (Please Read)
  5. Exercise Release Form


  1. Prescription or Referral for Physical Therapy
  2. Your Insurance Card (Insurance Companies that we work with)
  3. If you are being treated for an Auto Accident or Job-Related Injury, please bring Your Insurance Claim #

On all your visits, please bring:

  1. Your calendar or datebook so we can plan your treatment schedule.
  2. Insurance co-payment (we accept cash, check, major credit cards).

To Learn More About Us

Want to know more about our community? Check out our About Us page and “Like” us on Facebook for updates, athletic tips, and inspiring get-you-out-of-bed articles!


Balance Rehabilitation and Health Science, LLC
58 Range Road · Windham NH 03087
542 Mast Road · Unit 4 · Goffstown NH 03045
P: 603-890-8844
Patient Forms