Please print and complete the Patient Information and Medical Screening Forms. Then, select the questionnaire from the list below that is most closely related to your particular problem. Print and complete the forms within 24 hours of your initial appointment and bring them with you. These outcome questionnaires help us provide optimal care in managing your condition and outcomes.
- Neck Pain (Neck Disability Index)
- Upper Extremity Functional Index (elbow, forearm, wrist, hand)
- Shoulder Pain (Shoulder Pain and Disability Index)
- Carpal Tunnel Syndrome (Symptom Severity Scale CTS)
- Low Back Pain, with or without sciatica (OSWESTRY LBP Questionnaire)
- Lower Extremity Functional Scale (hip, thigh, knee, lower leg, ankle)
- Foot Disorders (Foot Function Index)
