Physical Therapy Forms

pic_evaluation-formsAll patients should fill out the following forms:

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

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. 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 and Power
  • Myofascial Referral Pain
  • Overall Flexibility
  • Vital Signs
  • Balance
  • Posture
  • General Health
  • Standing and moving posture
  • Soft tissue mobility
  • Functional mobility: the way in which bones, muscles, ligaments and joints work together

SPARK Physiotherapy does not directly bill insurance providers. However nearly all of our care is eligible for reimbursement. All payments are due at the time of service. Please check with your insurance provider regarding your out of network benefits so that we may submit your reimbursement claims on your behalf.  SPARK is NOT a Medicare participating provider.  We cannot bill Medicare on your behalf.  You are entitled to receive covered physical therapy services from a participating provider.  

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