Forms

Medical Records Release Form

To request patient records, please download and complete this form. Email the completed form, and the specific information needed for the request, to our Medical Records Department at therapy@lifeworkpt.com. Requests and forms can also be faxed to 256.502.8684.


New Patient Forms

If you're a new patient, you can print these form at home, fill them out and bring them with you on your first visit.

Patient Information Form

Medical History Form

Financial Policy / Assignment of Benefits


Privacy Policy

LifeWork Therapy Services, LLC is concerned about the privacy of our patient’s healthcare information. Our intent is to make you aware of the possible uses and disclosures of your protected health information and your privacy rights. To learn more about our Privacy Policy, click here to download the complete document.