Patient Forms

Please fill out and bring with you to your first appointment.  If you have more than one type of therapy, you only need to fill out one packet. 

Pediatric Packet (pdf)


Empire Therapy Patient Packet (pdf)



Want to be part of something bigger? OT, COTA, PT, PTA, SLP, and SLPA positions available at all times in our rapidly growing group! Please download and fill out the application below and submit it to or bring it into one of our locations!

Employment Application Empire (pdf)