Piedmont Physical Therapy, Inc.
Discovery Session Request Form
So That We Can Meet Your SPECIFIC Needs, Please Fill Out This Form And Show Us Exactly How You Want Us To Help You. The more we know, the better we can help you...
Primary Reason For Wanting to Schedule A Discovery Session
I'm new to Physical Therapy and not sure what to expect.
I was let down by another Physical Therapist in the past and would like to see if we are a good fit for each other before I commit.
I'm NOT sure if Physical Therapy can even help me.
I'd like to get a feel for what you can do to help me BEFORE I decide to book a regular appointment.
Where is your pain or stiffness?
Please Select One
Muscle Injury From Sport/Exercise
Not Sure Where It's Coming From
What Does It STOP You From Doing?
Do Not Fill This Out