Patient Forms
Thank you for choosing PELICAN Sports & Rehabilitation as your physical therapy provider.
- Please take a moment to download the patient intake forms
All Patients Download these forms
and then...
- Choose either the 'Upper' or 'Lower' body diagnosis form, depending on
the location of your complaint to be treated.
Upper Body Diagnosis
(upper back, head neck, shoulders, elbow, wrists, and hands)
Lower Body Diagnosis
(lower back, hip, buttocks, thigh, knee, ankle, foot)
- It is very important for you to fill them out completely, NO blanks,
and bring with you to your first visit.
- Also before you get started, please sit back, relax and watch
our 'First Visit Video'. This will outline what to expect during your
initial evaluation and treatment.
Once again Thank You... and we look forward to meeting you!
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