Patient Forms

Thank you for choosing Vermont Physical Therapy! You’re one step closer to making major strides in your health and well-being. You may download the new patient intake packet by clicking the button below. Please read all forms carefully, fill out appropriately and bring them with you to your initial appointment.

There are also download links to the six major functional scales we use. Please download and fill out the scale that mostly closely matches the main issue you are seeing us for (for example, use the “Upper Extremity” form for shoulder, arm, hand, etc.)

Your PT may have you fill out additional functional scales as needed. If you are unsure which scale to download, please call the office at (802) 497-0736 and we can guide you.

VTPT is proud to partner with:

ON FACEBOOK

1 week ago

#VTPT is a Certified Postural Restoration Clinic - this means we have the capability to take your care far beyond just your basic rehab.

See how PRI can help you by visiting the PRI website at ... See more

1 week ago

Reason #8 Why You Should Choose #VTPT: Ease of Scheduling

Our clinic's hours are set up to make sure patients get access to care at the times that they need. Whether that's a 7AM appointment before ... See more

2 weeks ago

Staff Spotlight: Chad Rainey

Chad founded Vermont Physical Therapy in 2009. After practicing on his own for several years, Chad moved VTPT to its current home in a beautiful Victorian house on South ... See more

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