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Forms

1. Select and print the History form.

History Form - complete for all areas

ABC Fall Risk - Balance Confidence Scale 

2. Select and print the appropriate index.

Lower Extremity Functional Scale Index - complete for feet, ankles, knees and hips

Back Index - complete for back

Neck Index - complete for neck

DASH Index  - complete for arm, shoulder and hand

3. Bring the completed forms with you on your first appointment.

 

We look forward to meeting you!

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