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www.ptcwyo.com | ||||||||||
(307)773-8533 (307) 635-7578 fax |
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Patient Information Forms
Below are Patient Information forms that you must complete before you arrive for your appointment. First download and complete the Confidential Medical History / Patient Registration form here: In addition, if you are having issues with your lower back please download and complete the "Oswestry Form" as well: If you are having issues with your "Upper Extremities" please download and complete the "Upper Extremeities Functional Scale" as well: If you are having issues with your "Lower Extremities" please download and complete the "Lower Extremeities Functional Scale" as well:
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Website & Contents © Physical Therapy Center of Wyoming, LLC 2010 1951 Blurgrass Circle Cheyenne, Wyo 82009-7355 |
Website by Warren Sims |