Innovative Physical Therapy and Wellness Studio
  • About Us
    • Therapists
    • Wellness Staff
    • Staff
    • Why Choose Us
  • Physical Therapy
  • Classes
    • Schedules
    • Pricing
    • Register
  • Massage
    • Massage Therapy
    • Appointments
  • Products
  • Patients
    • Insurance Information
    • FAQs
    • Forms
    • Your First Visit
  • Education
    • Myofascial Release
    • Physical Therapist
    • Nutrition
      • Recipes
    • Lymphedema
  • Contact

Forms

Our Goals for You!

Remember to bring your Physician’s Orders and Insurance Cards

  1. Patient Registration Form
  2. HIPAA Privacy Statement

 

ADDITIONAL FORMS (COMPLETE ONLY IF REQUESTED)

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

Opentime

Monday
7am-7pm
Tuesday
8am-6pm
Wednesday
7am-5pm
Thursday
8am-7pm
Friday
7am-3pm

contact us

560 Broadview Ave
Suite 201
Warrenton, VA 20186
Tell: (540) 347-4005
Email: contact@staging.innovativeptllc.com
© 2018 Innovative Physical Therapy and Wellness Studio