Yonemoto Physical Therapy
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      • Sheila Yonemoto
      • Belen Gulick
      • Doug Gulick
      • Mary Tan
      • Herbert Castillo
      • Romie Castillo
      • Huong Tran
      • Lisa Ramos
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      • Jaw Pain, TMJ, and Headaches
      • Neck Pain
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      • Hand, Wrist, Elbow
      • Hip Pain
      • Knee Pain
      • Foot and Ankle Pain
      • Arthritis
      • Tendinitis
      • Osteoporosis: Prevention and Rehab
      • Urinary Incontinence
    • Integrative Manual Therapy (IMT)
    • Fitness and Wellness >
      • Qigong
      • Detox Footbath
      • ACL Injury Prevention and Rehab
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Patient Forms

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Completing your patient registration and health history forms prior to arriving at our office will save you time at the first visit.

Please print out the appropriate forms below, fill them out completely, and bring the completed forms with you on your first visit to our office.  Thank you.

**All Patients, please make sure you read our Privacy Practices Notice prior to signing the Privacy Practices acknowledgment form.

Medicare Patients
Please download and print these forms.

Private Insurance Patients
Please download and print these forms.

Worker’s Compensation Patients
Please download and print these forms.



These files are in PDF format. You can download Adobe Acrobat Reader for free by clicking here.

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Sheila's Blog

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I focus on the topics you care about most.

Check out my blog for new health and wellness articles.

My archived articles published in the Around Alhambra, Rafu Shimpo, and other newspapers can also be found here.

Learn tips on how to prevent, relieve or even eliminate your movement disorder.


Visit My Blog To Read More >>

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Get Connected


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55 S. Raymond Ave. Suite 100
Alhambra, CA 91801

Main Phone: (626) 576-0591
Alternate Phone: (626) 538-3966
Fax: (626) 576-5890

Email: yonemotoptfinance@gmail.com
© 2015 Yonemoto Physical Therapy. ALL RIGHTS RESERVED.
  • Home
  • About
    • Staff >
      • Sheila Yonemoto
      • Belen Gulick
      • Doug Gulick
      • Mary Tan
      • Herbert Castillo
      • Romie Castillo
      • Huong Tran
      • Lisa Ramos
    • Facility
    • Testimonials >
      • Patient Success Stories
      • Endorsements
    • Community Involvement
    • Employment
    • Affiliations
  • Services
    • Physical Therapy >
      • Jaw Pain, TMJ, and Headaches
      • Neck Pain
      • Shoulder Pain
      • Back Pain
      • Hand, Wrist, Elbow
      • Hip Pain
      • Knee Pain
      • Foot and Ankle Pain
      • Arthritis
      • Tendinitis
      • Osteoporosis: Prevention and Rehab
      • Urinary Incontinence
    • Integrative Manual Therapy (IMT)
    • Fitness and Wellness >
      • Qigong
      • Detox Footbath
      • ACL Injury Prevention and Rehab
    • WorkSTEPS®
  • Insurance
  • For New Patients
    • What to Expect
    • Patient Forms
    • HIPAA Notice
    • FAQs
  • For Doctors
  • Publications
    • Newsletters
  • Products
  • Contact Us
  • Blog
  • VIRTUAL QIGONG CLASSES