What Concerns You The Most That Makes You Want To Consider Physical Therapy?
Where does it hurt?
Pain Behavior
Pain Behavior 2
Symptom Frequency
Main Goal Of Using Our Specialist Service
Very committed
Please Choose Your Ideal Day(s) For An Appointment
Please Indicate Your Ideal Times

Consent for E-mail/Text Communication and Appointment Reminders


We respect the privacy rights of all our patients and will therefore only communicate with patients and parents/guardians through email, text or voice mail messaging with your written consent.  Email can be inherently insecure if your email service does not use encryption.  Also, if your email address is through your employer, your employer may have access to your email box.  Voice mail may also be insecure, especially if you use a VOIP phone service.  When you consent to communicating with us by email, text or phone, you are agreeing to accept the risk that your protected health information may be intercepted by persons not authorized to receive such information.  Since we do not control the email and phone systems you use, we are not responsible for any privacy or security breaches that may occur through voicemail, email or text communications that you have consented to.


You may choose to limit the type of voicemail, email or text communication you have with us if you wish to limit your risk of exposing your protected health information to unauthorized persons. Please indicate below what types of correspondence you consent to receive by email or text.