Patient Forms
Please download and complete these forms for your first visit.
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Functional Assessment Forms
Please fill out one of the following forms adjacent the body area for which you are seeking Physical Therapy Care:
| Area of Body | Form Name | Download |
|---|---|---|
Hip/Knee/Ankle/Foot | Lower Extremity Functional Scale (LEFS) | Download |
Shoulder/Arm/Hand | Disability of the Arm, Shoulder and Hand (DASH) | Download |
Back | Oswestry | Download |
Neck | Neck Disability Index | Download |
General/Balance/Other | Falls Efficacy Scale (FES) | Download |