Patient Resources

promotion rehab new patient forms physical therapy orthopedic
New Patient Forms

New Patients please download, print and fill out the form below. Bring it with you to your appointment.

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promotion rehab telehealth patient services
Telehealth Forms

Informed member consent form for Telehealth services.

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older patient forms 65 over
Ages 65 & Up

If you are age 65 or over, please fill out the forms below.

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promotion rehab sc Oswestry Back Index (OBI) Form
Lower Back

Please fill out the Oswestry Back Index (OBI) Form

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promotion rehab physical therapy Neck Disability Index (NDI) Form
Neck

Please fill out the Neck Disability Index (NDI) Form

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Hip, Knee, Foot or Ankle

Please fill out the Lower Extremity Functional Scale (LEFS) Form

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Shoulder, Elbow, Wrist or Hand

Please fill out the QuickDASH Form

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Balance

Please fill out the Falls-Efficacy-Scale Form

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Post-Surgical Rehab

Are you scheduled to have a surgical procedure soon? Among the many things you need to do to prepare is to ask your doctor about scheduling your post-surgical rehabilitation!

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Pre-Surgical Rehab

While most people understand the importance of undergoing physical and occupational therapy, a lot of folks don’t know about Pre-Surgical Rehab and its importance.

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Post COVID-19 Recovery

Here at ProMotion Rehab and Sports Medicine, we offer methods of treatment for patients recovering from Post Covid19 Recovery. As more research is done, it’s being discovered that there are several lasting effects from the virus, many of which are causing challenges that can continue for unprecedented amounts of time.

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