New Patient Information

Please complete the following for your initial visit:

Low Back Disability Questionnaire  – Complete this form if you are being treated for Low Back problems.

Lower Extremity Functional Scale – Complete this form if you are being treated for your Hip, Knee, Ankle, or Foot.

Neck Disability Index – Complete this form if you are being treated for your Neck or Upper Back.

The Activities-Specific Balance Confidence Scale – Complete this form if you are being treated for Balance Problems or Concussion.

Upper Extremity Functional Index –  Complete this form if you are being treated for your Shoulder, Elbow, Wrist, or Hand.

Dizziness Handicap Inventory – Complete this form if you are being treated for Concussion and Dizziness

 

 

 

 

Ready to Get Started?