Patient Forms - Physical Therapy

Patient Forms

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All Patients
		VAS Body Diagram


Patients with Back Pain
		Fear and Avoidance Beliefs Questionnaire

		Oswestry Back Index


Patients with Neck Pain
		Oswestry Neck Index


Patients with Shoulder Pain
		Penn Shoulder Scale


Patients with Hip, Knee, Leg, or Foot Pain
		Lower Extremity Functional Scale


Patients with Hand, Elbow, or Arm Pain/Problem
		Quick DASH Questionnaire


Patients with Dizziness or Vestibular Problem
		Dizziness Handicap Inventory


Basic Home Exercise Programs for Common Problems
		Ankle and Foot

		Balance

		Hip

		Knee

		Low Back Pain

		Neck Pain

		Scapular Stabilization

		Shoulder Stabilization

		Shoulder Stretching

		Wrist, Hand, and Elbow