Forms

For New Patients

Please print and complete this form and bring it with you to your first appointment.

Your Care Team

Our team of expert Occupational Therapists, Physical Therapists, and Speech-Language Pathologists are experts in their fields. Visit their profiles to learn more about the specializations, certifications, and backgrounds.

View 48 Doctors and Providers

Michelle Aafedt, MS, OTR/L, CLT Kevin Bosworth, OTR/L, MS Tricia Coppola, OTR/L, CDRS, MS Scott Fidrych, OT, CHT Kristen Hoyt, OT/L Elizabeth Jones, OTR/L, CHT, CLT Kelsey Lindner, OTR/L Cassandra Nelson, MS, OTR/L, CEAS Ann Roth, OTR/L, CHT Janine Stoner, OTR/L, MS

Judy Aiello, DPT Beth Anderson, PT, MS, CLT, CKTP Jacqueline Armstrong, PTA Lauren M. Birmingham, PT, DPT Erika Brault, MSPT, DPT Bonnie Brenneman, PT Adriana Cerrato, PT Robin Chapin, PT, DPT, MS, cert MDT James L. Cody, PT, DPT Barbara J Coe, PT, OCS Robin Copperthwaite, PT Carolyn J. Daniels, PT Molly Daniels, PT, DPT, ATC, cert MDT Rebecca Dumais, PT, DPT Susan Dunn, PT, MBA, CEAS, cert MDT Kelly Garaventa, PT, MSPT Kristen Ginsburg, MPT Lisa Gramlich, PT, IMT-C, STAR/T Marilyn J. Gross, PT, MS PT Lindsay Hendrix, PT, DPT Kathy Kattman, PT, DPT Michael Knapp, MS, PTA, ATC Daniel Ludwig, PT, cert MDT Michelle Mayer, PT, DPT, OCS, ATC Brian Pawlow, PT, cert MDT, CCRP, CKTP Amber Pethigal, PTA John Rossi, PT, DPT, MS, cert MDT Cheryl A Russo, PT, MSPT Erica Sjovall, DPT Emily Spackman, PT, DPT Brian Taber, PT, MSPT, DPT, cert MDT Claudette Taylor, PT, MS Shawn Tycz, PT, cert MDT

Rebecca Burrell, MS, CCC-SLP Susan Guess-Lepczyk, MS, CCC-SLP Kimberly Sanzo, MS, CCC-SLP Mary Stanwicks, MS, CCC-SLP Meghan Wright, MS, CF-SLP

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For New Patients

Your Care Team