Patient Information
Depending on your reason for coming into Washington Physical Therapy, we have specific forms that need to be filled out prior to your appointment. Please select the form that best matches your reason for coming in, print and fill the form in it’s entirety. Bring this completed form when you come in and give to the front desk. For further questions, please contact the front desk at 509.547.3725.
Patient Assessment Forms
Pregnancy Mobility Index
Urogenital Distress Inventory
Continence Grading Scale
Pain Disability Index
Upper Extremity Index
Lower Extremity Scale
Neck Pain Questionnaire
Shoulder Pain Index
Lower Back Pain Questionnaire
New Patient? Save time!
For quick and easy registration, please print and fill out a Patient Registraton Form prior to your appointment.
Registration Form
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