Prior to your initial visit or during your treatment, Julie may request that you complete some documentation to help reduce the amount of time during her visit and help her better assess how to treat you. Please download and complete the appropriate form below, based on your condition. If you have any questions regarding which form to use or how to complete it, contact Julie.
Client Documentation
- How to Determine Your Insurance Benefits for Physical Therapy
- Patient Information & Financial Policy
- Conditions and Consent for Physical Therapy Treatment
- Physical Therapy Referral
Pelvic Floor Rehabilitation
- Patient History
- Pelvic Floor Consent for Evaluation & Treatment
- Instructions for Keeping a Record of Bladder Function
- Daily Voiding Log
- Sample – Daily Voiding Log
Pelvic Floor Rehabilitation – Pediatrics
- Pediatric Consent for Evaluation & Treatment
- Pediatric Health History & Screening Questionnaire
- Daily Bladder Log
- Your Bladder Instructions
Lymphedema