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Patient Forms

Thank you for choosing PELICAN Sports & Rehabilitation as your physical therapy provider.

  1. Please take a moment to download the patient intake forms

    All Patients Download these forms

    and then...
  2. 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)

  3. It is very important for you to fill them out completely, NO blanks, and bring with you to your first visit.
  4. 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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