Patient Forms
Please fill out the following registration forms. They are required for your physical therapy evaluation. You are invited to return the forms to our office in person, by faxing them to 218-824-8011, or by emailing to info@selecttherapymn.com
Past Medical History
Disclosure of Financial Policies
Notice of Privacy Practices
Good Faith Estimate
Billing and Collection Policies
Bill Pay
Safely pay your bill online
Click the Make Web Payment button to pay your bill online. You will be taken to our secure transaction page.
If you have questions about your bill, please call 218-824-5027.
Satisfaction Survey
Rate Your Experience
Select Therapy is dedicated to providing the highest quality of physical therapy care possible. We are interested in learning from our patients how we might improve or enhance our services. We highly value your feedback and would greatly appreciate it if you could take a few moments to respond below telling us how we did.