McCarthy Physical Therapy


PHYSICAL THERAPY GETTING YOU BACK TO LIFE


Helpful Forms


If you're a new client, please complete the following forms and bring them to your first appointment.

Health Questionnaire
Privacy Statement
E-Mail Consent

The following are forms pertaining to specific symptoms or diagnoses.
Please pick the forms that match what is going on with your body, complete them and bring them in to your first appointment.

Neck Questionnaire
Shoulder, Arm or Hand Questionnaire
Low Back Questionnaire
Lower Extremity Questionnaire
TMJ/TMD Questionnaire




If you would like our team to coordinate care with another physician practice please complete the form below to authorize release of your medical records



Note: To download Adobe Acrobat Reader for free, click here.