What is the primary reason for your physical therapy visit? Please Select Orthopedic non surgical Orthopedic post-op surgery Neurologic condition Sports related Work-related injury *
Do you have a physical therapy referral? If yes, please enter the full name on the line below of the referring licensed health care professional ( MD, DO, Physician Assistant, NP, Dentist, other health care practitioner licensed by The State of New York )Type a label Also, please upload a copy of the physical therapy referral below.