Wendy M. Featherstone PT, DPT

Jennifer Morin PT, MSPT, OCS

   
 

Please read the "HIPAA Privacy Notice". It is not required to print this notice.

All patients are required to print and complete the "Patient Intake Form" and the "Acknowlegement of Receipt of Privacy Policies" prior to their first appointment.

If we require additional paperwork (found on this page) from you, you will be informed as to which forms pertain to your treatment when you schedule your appointment.

If you have problems with the download, please call: 585-473-1290, or send an email: wendymfpt@hotmail.com.

REQUIRED BY ALL NEW PATIENTS:

Patient Intake Form

HIPAA Privacy Notice

Acknowlegement of Receipt of Privacy Policies


ADDITIONAL FORMS (UPON REQUEST BY THERAPIST):

Female Pelvic Sympton Questionnaire

Male Pelvic Symptom Questionnaire

Chronic Pain Form (Male)

Chronic Pain Form (Female)

Urogenital Distress Inventory


 
© 2013 Specialty Physical Therapy All Rights Reserved