Patient Info / Forms

At SSOR, we want to maximize your time with us. Prior to your first visit, please click on the applicable form below, fill out and submit online.

 

In-Clinic or At-Home Visit Intake Form:

New Evaluation Form English (Fill out Online or Download)

Nueva Cita – Espanol (Completar en Línea o Descargar)

 

Virtual Visit Intake Forms:

New Evaluation

Existing Patient

Medicare & Self-Pay Program

 

Questionnaires:

Pelvic Floor Therapy Questionnaire

 

Before Your First Visit

  • Make a list of questions that you have to discuss on your first visit.
  • List signs and symptoms that can be of importance to the therapist.
  • Have in writing key past medical history, previous treatments, current medications, and other important information.
  • Please call our office to verify your insurance benefits.
  • Arrive 15 minutes early for your first appointment.
  • Bring with you a copy of your insurance card and a photo ID.

 

What to Expect on Your First Visit

  • You will register with our friendly front office staff. They will help you navigate the insurance process and treatment program so you can focus on your recovery.
  • You will meet with your physical therapist for the initial evaluation.
  • During the evaluation, your physical therapist will ask questions about your medical history, current pain, or injury. Open communication helps us understand your problem.
  • Your movement, strength, coordination, and much more will be evaluated. Our purpose is to help you, so please ensure you communicate to your physical therapist if anything is hurting or bothering you during the examination.
  • Your physical therapist will recommend and prepare a course of treatments to ensure the quickest recovery and the best results. Your physical therapist will discuss the recommendations with you.
  • There will be some treatments performed the first day to get you started on your road to recovery. However, during the next visit, you will get into the full swing of your treatment plan.
  • You will schedule your series of visits with the front desk. The amount of therapy needed will be discussed with you, depending on the recommendations of your physical therapist. We offer many convenient appointment times, however, prime times can become busy, so it is best to book ahead as much as possible.
  • Your physical therapist will write up their findings and treatment plan to submit to your referring physician or other medical professionals who you choose.
  • If you have any questions at any time, please don’t hesitate to call. We want to ensure your satisfaction and full recovery.

Thanks for choosing SSOR for your physical therapy needs.