Keith Physical Therapy

 

"The greatest discovery of my generation is that human
beings can alter their lives by altering their attitudes
of mind."      - William James

Fill your paperwork out online!

Patient Intake Form

Patient Intake Forms:

We understand time is valuable to you.  That is why we have made your paperwork available for download. Please choose to "open" or "save" the file to access before printing.

All new patient's need to fill out the Health History Form

-Health History and General Intake Form

-MSE (Musculoskeletal Examination) forms

                     Workers (available after 5-27-08)

                      Non-Workers (available after 5-27-08)

 

Body Part Specific Forms:

Please fill out the form for the body part you are coming to physical therapy for if applicable.

-Head or neck

-Neck and/or Shoulder

-Low Back

-Thorax, Ribcage

-Elbow, Wrist, Hand

-Pelvic, Hip

-Knee, Leg, Ankle