HOW TO UPLOAD & SUBMIT YOUR INTAKE FORMS
Save time on your first visit!
Upload your forms virtually, ahead of time.
To do so, follow these instructions:
1. From the ‘INTAKE FORMS LIBRARY‘ below, find the intake forms that apply to you and your condition.
2. Click the ‘Click to Open in New Tab‘ button beneath each form that you need. The form will open up in a new tab on your internet browser.
3. Fill out the form(s) in your browser window.
4. In the top-right corner of your browser window, click the ‘Download’ icon. It will ask you if you want to download with or without the changes that you’ve made.
5. Select ‘Download With Changes‘.
6. Once the file has downloaded to your computer, you can upload the filled-out form to the ‘INTAKE FORM UPLOAD‘ form below:
Note: You may upload multiple files at once.
7. If you would rather print out the forms on paper and fill them out and bring them in-person to your appointment, you may do so instead.
8. Please allow for an extra 30 minutes before your first appointment for our staff to verify that we have all of your paperwork that we need.
INTAKE FORMS LIBRARY
- 1
First Visit Paperwork
- 2
Credit Card Authorization Form
- 3
Neck Pain Index
- 4
Back Pain Index
- 5
LEFS Index for Hip, Knee, or Ankle/Foot Pain
- 6
Quick DASH for Shoulder, Elbow, or Wrist/Hand Pain
Before Your First Visit
- Make a list of questions that you have to discuss on your first visit.
- List signs and symptoms that can be of importance to the therapist.
- Have in writing key past medical history, previous treatments, current medications, and other important information.
- Bring any copies of x-ray or MRI reports that correspond to the problem area we will be treating.
- Please call our office to verify your insurance benefits. Have your insurance card in hand when you do call so that we can get your group and/or plan numbers listed on the card for verification.
- Arrive 15 minutes early for your first appointment.
- Bring with you a copy of your insurance card and a photo ID.
What to Expect on Your First Visit
- You will register with our friendly front office staff. They will help you navigate the insurance process and treatment program so you can focus on your recovery.
- You will meet with our physical therapist for the initial evaluation.
- During the evaluation, your therapist will ask questions about your medical history, current pain, or injury. Open communication helps us understand your problem.
- Your movement, strength, coordination, and much more will be evaluated. Our purpose is to help you, so please ensure you communicate to your therapist if anything is hurting or bothering you during the examination.
- Your therapist will recommend and prepare a course of treatments to ensure the quickest recovery and the best results. Your therapist will discuss the recommendations with you.
- There will be some treatments performed the first day to get you started on your road to recovery. However, during the next visit you will get into the full swing of your treatment plan.
- You will schedule your series of visits with the front desk. The amount of therapy needed will be discussed with you, depending on the recommendations of your therapist. We offer many convenient appointment times, however, prime times can become busy, so it is best to book ahead as much as possible.
- Your therapist will write up their findings and treatment plan to submit to your referring physician (if needed for PT orders) or another medical professional who you choose.
- If you have any questions at any time, please don’t hesitate to call. We want to ensure your satisfaction and full recovery.