Now providing services at 2 Ruston locations! 2000 N Trenton Street, Suite 3 and 108 N Monroe Street
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Patient Forms

If you are a new patient, please fill out the registration forms below in advance of your appointment to assist the staff in making sure that we have all the information necessary to provide you with quality care and treatment. Please bring the completed forms with you to your appointment. Please remember to bring your insurance card(s) and method of payment or co-payment. We look forward to seeing you!


Download Patient Registration Form

Download Pelvic Floor Registration Form 

What Clients Are Saying

"I'm sure all facilities are good, but DJPT is warming and my wife and I can feel it, we both spent time doing rehab with Hannah at the clinic. It is top of the line and all staff is first class! The warmth and friendliness from everyone is what makes us feel so comfortable. I also love the perk of getting to use the facility and having the helpful staff available for DJPT's maintenance program after graduation."

Testimonial LogoLarry Haney