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We want to hear your story...

No two client situations are the same. A full and complete description of your current complaint and how you got here is extremely important to ensure that your treatment is safe and appropriate for you. Thank you for taking the time to record these details and bringing them with you to your initial appointment!

  1. Electronically fill out, sign, and submit our client self-assessment & intake. Complete the details and print a hard copy to bring with you to your first appointment. Please do not "sign & send" or save and email. Depending on your browser, you may need to save the pdf to your computer in order to fill it in electronically. Please also view and/or download our financial policies and HIPAA disclosure.

  2. Download Functional Outcome Reporting for the area or condition to be treated below. This allows your therapist to understand how your condition is affecting your daily activities. Complete the survey on or very near the day of your appointment. Once completed, please print and bring the appropriate survey with you to your first appointment.  As you answer the questions, think about pain or discomfort when it is at its worst and only as connected to the condition to be treated. For example, if you are receiving treatment for an ankle strain but a chronic hip issue creates mobility issues, consider only the impact of your ankle in your response. If you aren't sure how to answer a question feel free to discuss it with your therapist.
  3. If you have been in an automobile accident complete, sign and bring this PIP Waiver with you to your first appointment.

  4. If Medicare is your primary insurance we are required to verify a complete record of your current medications. If you do not already have a comprehensive list, you may wish to use the following form provided by AARP:
  5. For our pelvic health & continence clients: