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

Reason # Why You Should Choose #VTPT: Our Staff

Our office staff support our physical therapists every day in so many ways - whether it's scheduling, insurance issues or helping patients pick out ... See more

4 months ago

Need orthotics? There are plenty of insoles on the market, but a custom pair ensures the perfect level of support where it's needed most.

Call #VTPT and schedule your orthotic casting today!

5 months 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

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