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All Fitness & Wellness clients are required to undergo a Pilates Wellness Assessment consisting of a musculoskeletal screening and postural analysis to determine the right program for you.
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Fitness & Wellness Client Questionnaire

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If you are a Physical Therapy patient coming to see us for the first time please complete these forms prior to coming to your initial evaluation.
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Medical History Questionnaire

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Insurance Information

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HIPAA Notice

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Patient Consent

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Release Of Liability

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To obtain a physical therapy referral from your physician, simply ask your physician complete this form and have it faxed to our office.
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Physical Therapy Referral Form

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To be completed by a Parent or Guardian if the patient is a minor.
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Pediatric Health & Fitness Questionnaire

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Pediatric Liability Waiver

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All Physical Therapy Patients please select a functional scale that correlates to the body part you are being treated for  and complete to the best of your ability.
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Oswestry Low Back Pain Scale

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Back Index

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Lower Extremity Functional Scale

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Neck Index

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Pelvic Index

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Quick DASH Upper Extremity Scale

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All Therapilates class participants, please complete a registration form prior to coming to class or upon your arrival.
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Therapilates Registration Form

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