All new patients are required to fill out registration forms. Depending on your reason for attending therapy at CPTC will determine which medical history form is required. Please contact the office if you have any questions regarding which forms you should complete. All forms are in pdf file format. Click here to download the free Acrobat Reader.
To download new registration forms, please click here.
To download the general medical history forms, please click here.
To download the pelvic floor medical history forms, please click here.
We use functional outcome questionnaires to determine any objective changes from beginning to the end of your treatment. We will ask you to fill out one at the evaluation and again at discharge. If for some reason you do not return for a formal discharge, please fill out the appropriate form below that relates to your injury and fax or mail to us.
If you are discharged or decide not to return to CPTC and would like to provide feedback on our clinic and staff, please fill out this survey and return to us by fax or mail.