Welcome to Willow Grove Physical Therapy! To facilitate a smooth and convenient experience for our patients we have provided here a New Patient Intake Form.
By downloading and filling out the following form at a time that is convenient for you prior to your appointment, we will be able to make your visit as quick and efficient as possible. Make sure to bring the forms with you when you come for your appointment. We appreciate your time, and want to make sure you get the most out of your visit.
Functional Questionnaires (Condition Specific)
Please complete one (Office Staff will tell you which one):
Vestibular Conditions:
Orthopedic Conditions:
- Neck Index
- Back Index
- Disability Arm Shoulder Hand (DASH)
- Lower Extremity Index
- Penn Shoulder Scale
- WOMAC
If you have any questions, please do not hesitate to call us.
What do I need to bring with me?
On the first day, please arrive 15 minutes early so you can fill out the appropriate paperwork. you will need your insurance card, driver’s license, co-pay, and prescription (if applicable). For your convenience, we accept cash, checks, and credit cards, for your co-pay. Listed below are the forms that will need to be filled out prior to evaluation, please bring the completed documents with you or e-mail them to us prior to the session.
Can I refer myself?
Yes. In many cases, you can come “Direct Access” for an evaluation without first obtaining prescription.
What To Wear?
Please wear loose, comfortable clothes and sneakers/tennis shoes for the initial evaluation and treatment sessions. You will be moving around throughout the sessions so the more comfortable you are the easier it will be. The evaluation will take about 60 minutes.
Cancellation Policy
Due to our commitment to provide you one on one, individualized care, we request a 24 hour cancellation notice. A $45 fee will be assessed for no shows or lack of adequate cancellation notice. Thank you for your understanding.
