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HOME
LOCATIONS
Hubbard
Cortland
Kinsman
Salem
Mineral Ridge
SERVICES
All Services
Aquatic Therapy
Post Surgical Rehab
Integrative Dry Needling
Cupping Therapy
Blood Flow Restriction (BFR) Training
ImPACT Concussion Program
Lordex Program
Sports Medicine
Stroke Recovery Program
FAQ
TESTIMONIALS
PATIENT FORMS
CONTACT US
CAREER OPPORTUNITIES
INSURANCES
EMPLOYEES
HUBBARD
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~Hubbard (330) 534-8500
~Cortland (330) 637-0080
~Kinsman (330) 876-2255
New Patient Forms
Print and fill out the following three forms:
New Patient Forms
Day One Expectations
HIPAA Notice
Functional Outcome Questionnaires
Print and fill out the appropriate form(s) based on where you pain/injury is located:
Back Index Questionnaire
Neck Index Questionnaire
DASH (Upper Extremity) Index Questionnaire
LEFS (Lower Extremity) Index Questionnaire
Call Today For a Free Consultation!
~Most Insurances Accepted~
HOME
LOCATIONS
Hubbard
Cortland
Kinsman
Salem
Mineral Ridge
SERVICES
All Services
Aquatic Therapy
Post Surgical Rehab
Integrative Dry Needling
Cupping Therapy
Blood Flow Restriction (BFR) Training
ImPACT Concussion Program
Lordex Program
Sports Medicine
Stroke Recovery Program
FAQ
TESTIMONIALS
PATIENT FORMS
CONTACT US
CAREER OPPORTUNITIES
INSURANCES
EMPLOYEES
HUBBARD
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