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New patients can save some time during their first visit by printing and completing the following forms:
Patient Forms:
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Policies Form
Appointment Reminder Form
Medical Questionnnaire Form
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Medicare Related Forms:
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The following forms are for special circumstances:
Motor Vehicle Lien Form
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Release of Records Form
Pool Release of Liability Form
For your information:
Patient Bill of Rights
Questionnaires:
Berg Balance Scale
Disabilities of the Arm, Shoulder, and Hand (DASH)
Lower Extremity Functional Scale (LEFS)
Lysholm Knee Questionnaire
Neck Disability Index (NDI)
Optimal Instrument
Upper Extremity Functional Scale (UEFS)
Oswestry Back Disability Index
Shoulder Pain and Disability Index (SPADI)
Patient Specific Functional Scale
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The Facts About Hypermobility
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The Winding Road of Returning to Activity After A Concussion
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Close Menu
Services
Dancers / Ballet
DNA Analysis
Pediatrics / Teens
Physical Therapy for Students
Tactical Athlete
Training
All Services
Locations
Allston/Brighton
Allston
Brighton
Boston South End
Brookline
Brookline at 54 Harvard Street
Brookline at 62 Harvard Street
Cambridge/Somerville
East Cambridge
Somerville
Swampscott
Watertown
Wilmington
World Travelers
About Us
About Us
Staff
Our Affiliates
BSM Photo Gallery
Meet The Staff
Allston/Brighton
Allston Clinic
Brighton Clinic
Boston South End Clinic
Brookline
Brookline 54 Harvard Clinic
Brookline 62 Harvard Clinic
Cambridge/Somerville
East Cambridge Clinic
Somerville Davis Square Clinic
Swampscott Clinic
Watertown Clinic
Wilmington Clinic
Our Patients in Action
Testimonials
Careers
Patient Info
Privacy Policy
Patient Forms
Payment and Insurance
Insurance FAQ’s
Treatment FAQ’s
Blog
Contact
Pay Now
Call Now
Request Appointment