Please download and complete the appropriate forms from below and bring them with you on your first visit so we can assist you more efficiently. Forms can also be emailed back to us at

All patients must complete the forms under the first button below. We ask that you then complete one form for the body area that you are seeking care for. We look forward to working with you! 

Forms all patients must complete


Medical History Patient Information

Download intake information forms

Form for upper extremity patients (hand, wrist, elbow, shoulder)


Quick Disability of the Arm, Shoulder and Hand Questionnaire

Download Quick DASH

Form for lower extremity patients (hip, knee, ankle, foot)


Lower Extremity Functional Score

Download LEFS

Form for back patients


Modified Low Back Pain Disability Questionnaire

Download MLBODQ

Form for neck patients


Neck Disability Index

Download NDI

Form for dizziness and balance patients


Dizziness Handicap Inventory

Download File

Other forms (use only if directed) 


Disability of the Arm, Shoulder and Hand Questionnaire

Download DASH

Upper Extremity Functional Index

Download UEFI

Full Oswestry back disability questionnaire

Download Oswestry

Rolland-Morris Questionnaire

Download Rolland Morris

Tinetti Balance Test - therapist use

Download Tinetti

Dynamic Gait Index - therapist use

Download DGI
Please be advised: completing these forms and bringing or emailing them to us will help make your first visit go more smoothly. In order to schedule that first visit, you must call us or request scheduling via email or a personal visit to our office.