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New Patient Information

May 26 2009
Welcome to Fast Track Physical Therapy & Sports Medicine!  We realize how valuable your time is, so for your convenience, we have put together some information that will help speed along your first visit with us.  Below, you will find a collection of documents that will need to be filled out before your initial evaluation.  If you would prefer, we are happy to print these off for you and have you fill them out while you are right here in our office.

Everyone needs to fill our our Medical Intake Form as well as our Pain Questionnaire.  In addition to this we ask that you please choose the corresponding Questionnaire for your specific injury.  We want to cater to your needs, and the more information we can have about your particular injury/pathology, the better.  For example, if you are having back or neck pain, please fill out the Neck/Back Questionnaire, along with the Medical Intake Form and the Pain Questionnaire.  If you are experiencing knee or ankle pain, we would ask that you fill out the Lower Extremity Questionnaire instead of the Neck/Back Questionnaire.

If you are a customer of United Health Care (UHC), we also need you to fill out the United Health Care Questionnaire.

We look forward to seeing you soon, and hope that these documents save you some valuable time.  If you have any questions about which form(s) you should fill out, please feel free to contact us by phone at (801) 649-4690, or by email at 
office@fasttrackphysicaltherapy.com.  

 

Fast Track Medical Intake Form

May 26 2009

Fast Track Pain Questionnaire

May 26 2009

Neck/Back Questionnaire

May 26 2009

Arm/Shoulder/Hand Questionnaire

May 26 2009

Lower Extremity Questionnaire

May 26 2009

United Health Care Questionnaire

May 26 2009