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:


4 months ago
Coronavirus Disease 2019 (COVID-19)

A word on COVID-19: if you've been even remotely following news reports, it's been hard to miss the constant buzz about the novel coronavirus and the tracking of its spread across the U.S.

#VTPT ... See more

Coronavirus disease 2019 (COVID-19) is a virus (more specifically, a coronavirus) identified as the cause of an outbreak of respiratory illness first detected in Wuhan, China.

4 months ago

VTPT Staff Spotlight: Mary Denofrio

Mary has been with VTPT since September of 2019. As our staff has grown, so has our need for more hands on deck in reception. Mary has filled that role ... See more

5 months ago

Looking for a good deal on a great product? #VTPT is offering Mary's Nutritionals products at 50% off. CBD patchs, pens and oral capsules available, just stop by our office!

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