PATIENT INFORMATION FORMS


Your First Visit

Your first one-hour appointment begins with a thorough understanding of your goals and your need for treatment. Also included in this initial meeting will be a full evaluation of your physical movement to highlight any dysfunction. You’ll receive your first treatment, and you’ll begin the first repetitions of your specific home exercise program. We arrive at your home or office with everything we need to deliver your therapy. This will typically include a mobile treatment table and the appropriate exercise equipment or instruments needed to deliver your therapy. Patients are advised to wear comfortable, loose-fitting clothing that will allow you to move easily during examination and treatment. Your physical therapist will take a full-body approach to identifying any underlying issues, so access to more than just the area being treated is important. Your therapist will also need a list of any prescribed or over-the-counter medications that you take regularly, and any notes or instructions you may have from your doctor.

It is not necessary to have a doctor’s referral to schedule an appointment with us.

Insurance

The private, out-of-network care model used by 10X Physiotherapy allows us to provide excellent care, in your home or office, on your terms, not those of an insurance company. We are a no-bureaucracy, no-red tape, no-hassles health provider. Our sole goal is to help you reach your goals and get you back to your normally active life without pain or injury while ensuring that your problem is not a recurring one. Each account is settled at each visit, and we provide detailed receipts for your records that you may submit to your insurance provider, if you choose, for reimbursement.

Our hours are Monday – Friday, by appointment.


 

FORMS

Click the PDF icons to download any of the following forms.

Please print and complete these form prior to your first visit.

Patient Service Agreement


Patient Intake Form


Functional Dry Needling
Patient Consent


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