Thank you for your interest in Wendy 4 Therapy!  Please take a moment to download, complete and print the following New Patient Forms below.  These forms are important to me so that I know your complete medical and dental history and can treat you accordingly.  Plus, it saves time in our initial consultation.

Thank you for filling these out prior to your appointment. I look forward to meeting you! 

Pediatric:

New Patient Intake Form
Notice of Privacy Policy
Communications Disclosure
Pediatric Online Questionnaire

adult eds:

New Patient Intake Form
Notice of Privacy Policy
Communications Disclosure
EDS Online Questionnaire

Disability forms:

1. Arm, Shoulder, Hand
2. Fear Avoidance
3. Lower Extremity Functional Scale
4. McGill Pain Inventory
5. Neck Disability Index
6. Oswestry Disability Index
7. Sleep Fatigue Severity Scale
8. Upper Extremity Functional Scale






Help me help YOU!