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Newtown office: 215 860-7031
Jamison office: 215 343-2141
Levittown office: 215 949-7985
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| testimonials |
| "When I came to you I had serious doubts that I would every be able to walk again without assistance. Thanks to you guys I’ll be playing golf again soon." |
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Forms
New Patient Registration Form
The purpose of this form is to provide us with basic demographic data.
| Consent to Treatment Form
This form authorizes us to treat your medical condition, discusses financial responsibility, and reviews our cancellation policy.
| Medical History Form
The purpose of this form is to provide valuable background information regarding your past medical history.
| HIPPA Form
The purpose of this form is give us permission to disclose your medical information. | Lumbar Spine (low back)
Please fill out this outcome tool if you are coming to us for evaluation of your low back. (Oswestry)
| Cervical Spine (head and neck)
Please fill out this outcome tool if you are coming to us for evaluation of your head or neck. (NDI)
| Lower Extremity (hip, thigh, knee, leg, foot)
Please fill out this outcome tool if you are coming to us for evaluation of your hip, thigh, knee, leg, or foot. (LEFS)
| Upper Extremity (shoulder, arm, elbow, wrist)
Please fill out this outcome tool if you are coming to us for evaluation of your shoulder, arm, elbow, forearm, wrist, or hand.
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