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Forms

A. Physical Therapy Health Questionnaire -- Required for 1st PT Visit A. Physical Therapy Health Questionnaire -- Required for 1st PT Visit (847 KB)
You will be required to fill out and sign this form at your first visit. If you would like to expedite the paperwork process at your first visit, print this form, fill it out the best you can, sign it and bring it with you to your 1st visit. If you have questions about the content of this form, you can ask at your first visit or email info@jointventurespt.com.

B. Physical Therapy Optimal Functional Scale -- Required for 1st PT visit B. Physical Therapy Optimal Functional Scale -- Required for 1st PT visit (158 KB)
You will be required to fill out this form at your first visit. If you would like to expedite the paperwork process at your first visit, print this form, fill it out the best you can, and bring it with you to your 1st visit. If you have questions about the content of this form, you can ask at your first visit or email info@jointventurespt.com.

C. Physical Therapy HIPAA Document C. Physical Therapy HIPAA Document (182 KB)
This form contains Joint Ventures' policy about using your protected Health Information. We are required by federal law to make this form available to you. You do not need to print this form and you do not need to bring it to your first appointment. If you have questions about this form, you can ask at your first visit or email info@jointventurespt.com.

D. Massage Therapy Intake and Informed Consent D. Massage Therapy Intake and Informed Consent (328 KB)
You will be required to fill out this form at your first massage visit and anytime you have a change in your medical status or goals for a massage. If you have any questions about the forms, you can ask when you arrive for your first visit or you can email your massage therapist directly. Check out the Staff tab on our homepage to get their email address.

E. Acupuncture Health Questionnaire and Informed Consent E. Acupuncture Health Questionnaire and Informed Consent (2136 KB)
You will be asked to fill out these forms prior to your first visit. They ask questions about your current and past health and give your informed consent to treat you. If you have any questions about the forms, you can ask when you arrive for your first visit or you can email your acupuncturist directly. Check out the Staff tab on our homepage to get their email address.

F. Personal Training Informed Consent F. Personal Training Informed Consent (638 KB)
You will be required to sign this form prior to your first personal training appointment. It gives your consent for the Joint Ventures' personal trainer to work with you. You will only need to fill it out once. If you have any questions about this form you can ask when you arrive for your visit or you can email your personal trainer. Check out the Staff tab on our homepage to get their email address.

G. Nutritional Counseling Informed Consent G. Nutritional Counseling Informed Consent (341 KB)
You will be required to sign this form prior to your first nutritional counseling appointment. It gives your consent for the Joint Ventures' nutritionist to treat you. You will only need to fill it out once during your course of treatment. If you have any questions about this form you can ask when you arrive for your visit or you can email your nutritionist. Check out the Staff tab on our homepage to get their email address.

H. Yoga Intake and Consent H. Yoga Intake and Consent (418 KB)
You will be required to sign this form prior to your first yoga session. It gives your consent for the Joint Ventures' yoga instructor to instruction you. You will only need to fill it out once during your course of treatment. If you have any questions about this form you can ask when you arrive for your visit or you can email your yoga instructor. Check out the Staff tab on our homepage to get their email address.

Patient Info

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617.536.1161

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