What you can expect
Our goal is to provide you with superior service every time you interact with us.
For your convenience we provide the forms you will need online. Our office will instruct you as to which forms you will need.
Feel free to fill out these forms online and they will be transmitted to us securely.
On your first appointment with us, please dress in loose-fitting casual clothing and bring:
- The Physical Therapy Referral / Rx from your doctor
- Photo ID (example: Driver’s license)
- All Insurance Cards so we can make copies
- A list of all current medications and vitamins including dosage, frequency, and administration route.
Feel free to call us if you have any questions or need help with directions. NOTE: All co-pays, co-insurance and deductibles are due at the time services are rendered.
New Patient Forms (ALL New Patients MUST Complete)
New Patient Registration/Insurance
Patient Medication List
Patient History Form
Balance/Vestibular Forms (Complete ONLY if Instructed by Office)
Activities Specific Balance Confidence Form
Visual Analog Scale
Dizziness Handicap Inventory
Falls Efficacy Scale