Healthy U Physical Therapy, Wellness, Pilates & Aquatic Center
Healthy U Physical Therapy, Wellness, Pilates & Aquatic Center 

Seeing your Doctor ?

You can print this referral form and take it with you to your Dr's appointment.

 

 

Healthy U Referral form.pdf
Adobe Acrobat document [298.9 KB]
Physical_Therapy_Intake_Form.pdf
Adobe Acrobat document [112.0 KB]
Low Back Pain Questionaire.pdf
Adobe Acrobat document [474.6 KB]
Neck Pain Questionaire.pdf
Adobe Acrobat document [313.9 KB]
Lower Extremity Functional Scale.pdf
Adobe Acrobat document [372.3 KB]
upper Extremity Questionaire.pdf
Adobe Acrobat document [375.1 KB]
Pilates Medical Release Forms.doc
Microsoft Word document [218.5 KB]
Pilates Liability Release Form.doc
Microsoft Word document [501.5 KB]

Questions?

Want to know what your insurance covers?

Free benefit check

 

Pilates 530 345-7342

 

Physical Therapy 

 

530-345-1993

 

Fax: 888-511-3977

Or use our contact form.

 

tim@healthyuchico.com

Healthy U Referral form.pdf
Adobe Acrobat document [298.9 KB]
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