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PT Registration

 For All PT Patients

  • Intake Form
  • Patient History Form
  • Diagnosis Specific Questionnaire(s)
    • These will be completed in the clinic. Our team will select the appropriate form for you to fill out based on your diagnosis. Please arrive a few minutes before your appointment to complete this, even if you have completed the other forms above. If you are only being treated for one diagnosis, these forms should take 5 min or less to complete.
    • IMPORTANT: These questionnaires are the first step in helping us develop an accurate plan of care tailored to your current limitations and to periodically measure your progress from start to finish. Please consider the questions carefully and fill them out accurately to the best of your ability. Medicare also uses the scores to compare provider outcomes, and will be adjusting reimbursement rates based on this information. We look forward to working with you on your journey back to a higher quality of life. 

For Patients on Aetna Insurance

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