McCarthy Physical Therapy


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

You have a right to a Good Faith Estimate that explains how much your medical treatment will cost 
Please find information about the Good Faith Estimate below. 


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