info@proaction-pt.com

(267) 263-2737

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Medical History & Consent to Treatment

  • Conditions & Consent for Physical Therapy (670.04 KB)
  • Patient Medical History (867.98 KB)
  • Medication List (170.7 KB)

Patient Outcome Forms

  • Back Index (73.9 KB)
  • Disabilities of the Arm, Shoulder, & Hand (44.3 KB)
  • Dizziness Handicap Inventory (688.09 KB)
  • Foot and Ankle Disability Index (80.04 KB)
  • Lower Extremity Function Scale (481.71 KB)
  • Neck Disability Index (216.76 KB)
  • Shoulder Pain & Disability Index (14.03 KB)
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ProAction Physical Therapy
902 N Broad St, Suite 103
Lansdale, PA 19446
Email: info@proaction-pt.com
Phone: (267) 263-2737
Fax: (267) 663-7648
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