---
title: Physical Therapy Clinic Employee Handbook Acknowledgment Form Template | Paperform
description: Professional acknowledgment form for PT clinic staff to confirm understanding of HIPAA compliance, documentation standards, billing practices, and treatment protocols. Customizable and ready to use.
url: "https://paperform.co/templates/physical-therapy-clinic-employee-handbook-acknowledgment"
type: static
generatedAt: "2026-03-28T00:44:48.961Z"
---

[← Back to free form templates](/templates/)    ![Physical Therapy Clinic Employee Handbook Acknowledgment](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/physical-therapy-clinic-employee-handbook-acknowledgment.png)
    [Preview](https://_preview.paperform.co/ai-template/physical-therapy-clinic-employee-handbook-acknowledgment) [Use this template for free](/create?ai-template=physical-therapy-clinic-employee-handbook-acknowledgment)    [Policy & Acknowledgment Forms](/templates/category/policy-acknowledgment/)[Human Resources Forms](/templates/category/hr/) [Healthcare](/templates/industry/healthcare/) [HR Manager](/templates/role/hr-manager/)[Manager](/templates/role/manager/)[Physical Therapist](/templates/role/physical-therapist/)[Healthcare Administrator](/templates/role/healthcare-admin/)     About this free form template
### Physical Therapy Clinic Employee Handbook Acknowledgment Form

Running a compliant and professional physical therapy clinic requires every team member to understand and follow critical policies—from patient privacy to billing practices. This **Physical Therapy Clinic Employee Handbook Acknowledgment Form** helps clinic owners, practice managers, and HR teams document that all staff members have received, reviewed, and agreed to abide by your employee handbook and clinical protocols.

#### Why this form matters for physical therapy practices

Physical therapy clinics operate in a highly regulated environment. Staff must understand HIPAA requirements, proper documentation procedures, insurance billing compliance, and evidence-based treatment protocols. This acknowledgment form creates a clear record that employees have been informed of these expectations, protecting both your practice and your patients.

Whether you're onboarding new physical therapists, physical therapy assistants, front desk staff, or billing coordinators, this template ensures everyone signs off on the same standards and policies.

#### What's included in this template

This form covers the essential acknowledgment areas for PT clinic operations:

 - Employee information and position details
 - Handbook receipt confirmation
 - HIPAA and patient privacy compliance
 - Documentation and record-keeping standards
 - Insurance billing and coding compliance
 - Treatment protocol and clinical standards
 - Workplace conduct and ethics
 - Safety and emergency procedures
 - Electronic signature capture

#### How Paperform makes policy acknowledgment seamless

With Paperform, you can customize this template to match your clinic's specific policies, embed it directly in your onboarding workflow, and automatically store signed acknowledgments with timestamps for compliance audits. Use conditional logic to show role-specific policies (for example, billing staff see additional insurance compliance sections), and connect submissions to your HR system or document storage via integrations.

**Take it further with Papersign:** Once an employee submits this acknowledgment, you can automatically generate a formal PDF agreement and send it through [Papersign](https://papersign.com) for an official eSignature, creating a legally binding record that's audit-ready.

**Automate your onboarding with Stepper:** Connect this form to [Stepper](https://stepper.io) to trigger your full onboarding sequence—send the handbook PDF, schedule compliance training, create employee files in your HR system, and notify managers when acknowledgments are complete.

This template is ideal for physical therapy clinics, rehabilitation centers, sports medicine practices, and any healthcare practice that needs to document staff understanding of clinical policies and compliance requirements.

Start with this template and customize it to reflect your clinic's unique policies, state regulations, and operational standards—all within Paperform's intuitive editor.
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