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
Download FileInsurance Information
Download FileHIPAA Notice
Download FilePatient Consent
Download FileRelease 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
Download FilePediatric 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
Download FileBack Index
Download FileLower Extremity Functional Scale
Download FileNeck Index
Download FilePelvic Index
Download FileQuick 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
Download File