Physical Therapy Clinic Bulk Equipment & Supply Order Form
About this free form template

Physical therapy clinics need specialized equipment and supplies to deliver quality patient care—but ordering in bulk requires careful planning around space, capacity, insurance coding and long-term maintenance. This Physical Therapy Clinic Bulk Equipment & Supply Order Form is built specifically for PT clinic owners, office managers and procurement teams who want to streamline wholesale purchasing while ensuring every order fits their clinical and operational needs.

Why Paperform for PT clinic procurement?

Whether you're opening a new clinic, expanding your facility or restocking essential equipment, this template helps you collect everything you need in one organized workflow. The form includes built-in calculators for space requirements based on equipment dimensions, patient capacity planning based on your current and projected caseload, and fields to capture relevant insurance reimbursement codes (CPT codes) for each equipment category—making it easier to justify purchases and plan for revenue impact.

Key features for physical therapy clinics

  • Bulk equipment selection with quantity fields for resistance bands, therapy tables, parallel bars, exercise balls, weights, modalities and more
  • Insurance reimbursement code tracking to link equipment purchases with billable CPT codes for documentation and compliance
  • Patient capacity calculator to estimate how many additional patients you can serve with new equipment
  • Space requirement calculator that totals square footage needed based on selected equipment
  • Maintenance schedule planning so you can plan servicing, warranties and lifecycle replacement from day one
  • Custom orders and special requests for specialized or hard-to-find equipment

All responses are captured in one place, ready to forward to your supplier, share with your finance team or integrate into your procurement workflow using Stepper to automatically create purchase orders, update inventory systems and notify your team when equipment arrives.

Perfect for rehabilitation and therapy providers

This template is ideal for physical therapy clinics, sports medicine practices, rehabilitation centers, hospital PT departments and wellness facilities that need to purchase equipment in bulk. It's designed to support professional procurement processes while staying simple enough for small clinic teams to use without a dedicated purchasing department.

Paperform's calculation fields, conditional logic and payment integrations make it easy to turn this form into a complete ordering system—accept deposits, calculate shipping and taxes in real time, and send customized confirmation emails with order summaries and delivery timelines. And because Paperform is SOC 2 Type II compliant, you can trust that your clinic and supplier data stays secure throughout the process.

Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Built for growing businesses, trusted by bigger ones.
Trusted by 500K+ business owners and creators, and hundreds of millions of respondents. Small and growing teams across marketing, eCommerce, education, and professional services run their forms on Paperform.

Our customers love us, with an average rating of 4.8 out of 5 from 380 reviews across Capterra, Trustpilot, and G2.