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:

Vermont Physical Therapy
Vermont Physical Therapy
We've got some new faces at #VTPT these days...include this guy. Meet Dante, our Practice Administrator Abbie's German Shepherd pup.

Working hard or hardly working, we'll let you decide...
Vermont Physical Therapy
Vermont Physical Therapy
It is with much sadness that we say farewell to Sarah Miksek, our Administrative Assistant for the past year. Sarah has been a rock at the front desk and we have enjoyed watching her grow in knowledge and confidence.

Sarah has accepted a position with the State of Vermont working with Medicaid and disability applicants. We wish her every success and happiness in her new position (and hope we've helped prepare her for it!)

We'll miss you, Sarah!