Connect Physical Therapy: It's time to Own Your Body
  • Home
  • About
    • Michelle Dela Rosa, PT, DPT, PRPC
    • Karen A. Bruno, PT, DPT
    • Becca Ironside, PT, MSPT
    • Bryn Zolty, PT, DPT
    • Timothy Sene, PT, DPT
    • Marzena Bard, PTA, CYT
    • Mary Ann White, PTA
  • Services
  • New Patients
  • Existing patients
    • Patient Cheat Sheet
    • Pelvic Floor Relaxation
    • Core Strengthening
    • Hip Strengthening
    • Pelvic Correctives
  • Videos
    • Female pelvic pain
    • Male pelvic pain
    • Meditation
    • Back pain
    • Pregnancy & postpartum
    • Yoga
  • Ask us
  • Blog
  • Location

NEW PATIENTS

It's easy to become a new patient at Connect PT. Simply follow the steps on this page.

Complete the following steps to expedite your first visit.

1. Prior to your first visit, enter your information in our new patient form online. 
  • If your first time with Connect PT will be at the Hamilton office, click here and fill out this form.
  • If your first time with Connect PT will be at the Howell office, click here and fill out this form.

2. Prior to your first visit, download three documents: the new patient questionnaire, the informed consent form, and the policies agreement. Bring the completed forms with you to your first visit.
2019 New Patient General Health Questionnaire
File Size: 756 kb
File Type: pdf
Download File

2018 Informed Consent form
File Size: 537 kb
File Type: pdf
Download File

2018 Policies Agreement
File Size: 746 kb
File Type: pdf
Download File

3. Prior to your first visit, review these documents. They are only for your reference so you need not bring them with you.
HIPAA
File Size: 161 kb
File Type: pdf
Download File

Insurance Benefits (out of network)
File Size: 90 kb
File Type: pdf
Download File

    4. For helpful tips, Connect PT news, and external resources, subscribe to our newsletter.
Subscribe to Newsletter
That's it! We can't wait to see you. In the meantime, stay connected with us on Facebook.

If you need directions, visit our Location page. Please contact us for more information or questions about insurance. You can email us at admin@connectpt.org or call the Hamilton office at 609-584-4770 or the Howell office at 732-994-7755. 
©2009-2019 Connect Physical Therapy and Connect Physical Therapy East | It's Time to Own Your Body
facebook.com/connectphysicaltherapy | admin@connectpt.org
Whitehorse Professional Building | 1675 Whitehorse-Mercerville Rd, Ste 101 | Hamilton, NJ 08619 | P: 609-584-4770 | F: 609-584-4880
Candlewood Commons Office Park | 201 Candlewood Commons | Howell, NJ 07731 | P: 732-994-7755 | F: 732-994-7757
  • Home
  • About
    • Michelle Dela Rosa, PT, DPT, PRPC
    • Karen A. Bruno, PT, DPT
    • Becca Ironside, PT, MSPT
    • Bryn Zolty, PT, DPT
    • Timothy Sene, PT, DPT
    • Marzena Bard, PTA, CYT
    • Mary Ann White, PTA
  • Services
  • New Patients
  • Existing patients
    • Patient Cheat Sheet
    • Pelvic Floor Relaxation
    • Core Strengthening
    • Hip Strengthening
    • Pelvic Correctives
  • Videos
    • Female pelvic pain
    • Male pelvic pain
    • Meditation
    • Back pain
    • Pregnancy & postpartum
    • Yoga
  • Ask us
  • Blog
  • Location