Patient Intake

Symptoms:

Thank you for your time in filling this out! This will speed up treatment and allows me to be more laser in diagnosis.

Suzanne Joseph, DPT, IMTC

Pediatric/Adolescent Intake

Present-time Information:

Please list the physicians involved in your child’s care. We will ask you about who we can contact to coordinate your care.

ABOUT OUR CARE:

While all therapies are hands-on, they are effective and gentle. There is no pain in ANY treatment. Clothing should be light and stretchy. Please avoid jeans or denim, non-stretchy materials. Please bring books to read to your child, interactive toys, or a video.

We do require that parent/guardian or other designated adult be present throughout pediatric sessions. This is necessary for further discussion regarding ongoing patient needs.