Fill Out Your Paperwork In Advance
Please fill out the (1) Initial Patient Intake Questionnaire and (2) Review the Privacy Practice Notice in advance of your session so we can maximize our time together.
If you plan to complete and submit your Intake Questionnaire on your computer, use the Fillable Word Document here:
If you prefer to print a PDF copy, complete by hand, and submit your Intake Questionnaire electronically or in person, find the PDF here:
Review My Restorative Physical Therapy’s Privacy Practices/ Policy Here. Signature is Collected on your Intake Questionnaire. Updates for Version 2.0 made to include Telehealth physical therapy services.
Consent Addendum for Telehealth Physical Therapy Services. For current and former patients who wish to transition to Telehealth care.
Format of the First Visit
- Talking About Why You Want/ Need Physical Therapy & Setting Goals
- Evaluation using Physical Therapy Tests to Find the Source of the Problem
- Beginning of Treatment with Manual Therapy, Education, and/or Exercises Depending On What Your Body Needs Most
What Should I Bring?
- Photo ID
- Insurance Card (if applicable)
- Referral from MD/ Other Provider (if applicable)
- Your Appropriate Payment Method (Credit Card, Cash, Check, HSA/ FSA Card)
What Should I Wear?
Loose, comfortable clothing that can:
- Easily expose the part of the body we will be focusing on.
- Allow you to move/ exercise without limitation.