Physical Therapy Forms

All patients should fill out the following forms:

•  SPARK PT Registration and Medical History form
• Trigger Point Dry Needling Informed Consent
• Pain Fear Avoidance Questionnaire

Additionally, if you are experiencing pain in any specific area, please download and fill out the respective form(s).

•  Neck pain or Injuries
• Arm, Shoulder and/or Hand pain or Injuries
• Back pain or injuries
• Leg pain or injuriesArthritis

Schedule an appointment today by email or phone:
(703) 329-0181

Before starting physical therapy, it is important for us to know your medical history, previous injuries and current pain. Please fill out the physical therapy forms below and bring them with you to your first physical therapy appointment. During your first visit to our office, you will undergo a PT evaluation, where we perform a comprehensive assessment of the following:

Complete Review of Systems Active and Passive Joint Range of Motion Accessory Motion of Joints Strength Overall Flexibility Vital Signs

Balance Posture General Health Gait (walking mechanics) Soft tissue mobility Functional movements: the way in which bones, muscles, ligaments and joints work together