Innovative Physical Therapy and Wellness Studio
  • About Us
    • Contact
    • Why Choose Us
    • Job Openings
  • Staff
    • Therapists
    • Wellness
    • Admin
  • Services
    • Physical Therapy
    • Personal Training
    • Massage
      • Massage Therapy
      • Pricing
      • Appointments
    • Gentle Yoga
  • Products
  • Patients
    • Insurance Information
    • FAQs
    • Forms
    • Your First Visit
  • Education
    • Myofascial Release
    • Physical Therapist
    • Nutrition
      • Recipes
    • Lymphedema

Forms

Our Goals for You!

Remember to bring your Physician’s Orders and Insurance Cards 

  1. Patient Registration Form  (Online), (Print)
  2. HIPAA Privacy Statement

 

ADDITIONAL FORMS (COMPLETE ONLY IF REQUESTED)

  1. Neck Pain Disability Index Questionnaire (Online), (Print)
  2. Oswestry Low Back Pain Questionnaire (Online), (Print)
  3. Lower Extremity Functional Scale (Online), (Print)
  4. Disabilities of the Arm, Shoulder & Hand (Online), (Print)
  5. Worker’s Compensation Checklist
  6. Patient Attestation Form
Innovative Physical Therapy and Wellness Studio

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Opentime

Monday
8am-5pm
Tuesday
8am-7pm
Wednesday
8am-3pm
Thursday
8am-7pm
Friday
8am-12pm

contact us

560 Broadview Ave
Suite 201
Warrenton, VA 20186
Tell: (540) 347-4005
Email: office@innovativeptllc.com
© 2021 Innovative Physical Therapy and Wellness Studio