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.

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But wait, there's more! We've been busy at #VTPT expanding our offerings to patients. We are very excited to welcome Mindy Cohen, PT, CST, RK to Vermont Physical Therapy.

Mindy comes to us with over 20 years of experience in physical therapy. She has vast experience in outpatient and inpatient, most recently coming from an home health setting working with seniors and chronic care management patients. #VTPT is very excited to have an experienced PT who can spearhead our Gait and Balance Training program. Look for more information about this in in the upcoming weeks!

When not working with patients, Mindy enjoys a number of outdoor and athletic endeavors, including skiing, biking, swimming and hiking. Click the "Book Now" button at the top of this page to request an appointment with Mindy or give our office a call at (802) 497-0736!
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Another warm welcome to #VTPT's new Administrative Assistant, Sarah Miksek!

Sarah is new the medical world but eager to learn all she can about what goes on behind the scenes to make offices like Vermont Physical Therapy run smoothly. A recent grad from Southern New Hampshire University, Sarah graduated with a degree in Business Administration. Patients will most often see her in the front office aiding folks with scheduling, billing questions and everything in between. Even our administrative staff are active folks: Sarah enjoys spending time outdoors and can frequently be found hiking, camping and golfing.
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