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  • Manual Physical Therapy
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Explore Resources

• COVID-19 Class and Individual Movement Guidelines
• COVID-19 Class and Individual Movement Guidelines
• Covid-19 Guidelines at Pinnacle
• FAQs
• New Client Forms
• Testimonials
• Nearby Amenities
• Pinnacle Community Practitioners
• Preferred Outside Services

Please complete the following forms prior to your physical therapy appointment (download pdf’s):

▼New Client Intake with Insurance Info 2018

▼ Current Medical History Form

▼ Current Policies & Procedures

Forms for patients according to diagnosis

If you are seeing the physical therapist for low back pain, please complete the following forms:

▼ Oswestry Disability

▼ Rowland Morris

If you are seeing the physical therapist for neck pain, please complete the following form:

▼ NDI (The Neck Disability Index)

If you are seeing the physical therapist for knee pain, please complete the following form:

▼ KOS (Knee Outcome Survey)

If you are seeing the physical therapist for shoulder, elbow, or wrist pain, please complete the following form:

▼ DASH (Disabilities of the Arm Shoulder or Hand)

If you are seeing the physical therapist for leg, ankle or foot pain, please complete the following form:

▼ LEFS (The Lower Extremity Functional Scale)

All Medicare Clients will need to fill out the following form as well:

▼ Optimal Baseline