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 day ago

April Fools!

But really, do your exercises...

1 week ago
We're All Responsible for Our Opioid Reliance—Even Patients

#VTPT treats many people with chronic pain conditions who are also in various stages of opioid use or treatment for opioid addiction. One of the key factors in reducing the use of opioid pain ... See more

Blame our healthcare ecosystem and our quick-fix culture

2 weeks ago

Dear #VTPT Patients: it is with a very heavy heart that we have decided as of today, March 18th, to close the clinic to patients until April 6th. The Vermont Department of Health has advised all ... See more

« 1 of 6 »