Please select each of the 4 forms below and print, fill out, and bring with you to your appointment. Additionally, select the appropriate “Index” form.
Index Forms – Select the form which relates to the area you are seeking physical therapy for.
- Upper Extremity Functional Scale: Shoulder, elbow, etc
- Lower Extremity Functional Scale: Hip, knee, ankle, foot, etc
- Neck Index: Neck
- Back Index: Back