American Occupational Therapy Association

American Speech-Language Hearing Association

American Physical Therapy Association

American Academy of Wound Management

American Diabetes Association

American Association of Retired Persons

Jacqui von Voss Holistic Health


Arthritis Foundation

American Stroke Association

National Fibromalga Association

Aquateic Resources Network

National Multiple Sclerosis Society

H20 Wear

Chester River Health Systems




If you have not previously completed an application, please download the forms below, fill them out, and bring them with you to your appointment.  You will need to submit completed forms before your first appointment.

Document Name: Word File PDF
Patient Information Form
Clinical Intake Form


Chestertown Physical Therapy/AquaFit | 818 High Street | Suite 1 | Chestertown, Maryland 21620
phone: 410.778.6565 | fax: 410.778.6536 | email:

hours of operation: 8:00am - 5:00pm Monday - Friday

site design by MOO Productions | email webmaster