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.

Fitness & Wellness Client Questionnaire
Download FileIf 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.

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
Download FileTo obtain a physical therapy referral from your physician, simply ask your physician complete this form and have it faxed to our office.

Physical Therapy Referral Form
Download FileTo be completed by a Parent or Guardian if the patient is a minor.

Pediatric Health & Fitness Questionnaire
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Pediatric Liability Waiver
Download FileAll 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.

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
Download FileAll Therapilates class participants, please complete a registration form prior to coming to class or upon your arrival.

Therapilates Registration Form
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