Physical Therapy Clinic Equipment Lease Application

Streamline Your Physical Therapy Equipment Financing

Upgrading your physical therapy clinic with the latest rehabilitation equipment shouldn't mean drowning in paperwork. This Physical Therapy Clinic Equipment Lease Application template gives PT practice owners and clinic administrators a professional, organized way to apply for equipment financing—all in one clean, branded form.

Whether you're looking to lease ultrasound machines, electrical stimulation devices, treatment tables, or complete rehab systems, this template captures everything leasing companies need to evaluate your application: clinic information, therapist credentials, patient volume, insurance reimbursement rates, referral sources, and financial details.

Built for Physical Therapy Practices

This form is designed specifically for physical therapy clinics, sports medicine practices, rehabilitation centers, and orthopedic therapy facilities. It accounts for the unique needs of the industry—from state licensure verification to payer mix analysis—making it faster for you to submit complete applications and easier for lenders to approve your financing.

The template includes conditional logic that adapts based on your practice type, ownership structure, and equipment needs, ensuring you only answer relevant questions. Fields for multiple therapist credentials, detailed insurance reimbursement breakdowns, and referral source tracking give leasing companies confidence in your clinic's financial stability and growth potential.

Save Time with Paperform's Smart Features

With Paperform's doc-style editor, you can customize this template to match your clinic's branding in minutes—no design skills needed. Add your logo, adjust colors to match your practice identity, and embed the form directly on your website or share it via a custom link.

Use Papersign to turn approved applications into equipment lease agreements with built-in eSignature capabilities, keeping the entire financing process connected and compliant. Once the form is submitted, trigger Stepper workflows to automatically route applications to your financial team, notify equipment vendors, update your CRM, or log details in your practice management system—all without manual data entry.

This template is perfect for physical therapy practice owners, clinic administrators, healthcare financial managers, and rehabilitation center directors who need a professional, conversion-optimized way to handle equipment financing applications. Trusted by healthcare providers worldwide, Paperform is SOC2 Type II and GDPR compliant, ensuring your sensitive practice and financial information stays secure throughout the application process.