Optimal Performance Physical Therapy

Where it doesn't have to hurt to heal

Optimal Performance Physical Therapy, Scarborough, Maine
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Patient Forms

Below are a list of patient forms in PDF format.

General Registration Forms

  • Registration Packet Demographics and Insurance Information
  • PT First Session
  • Current Medication

Upper Extremity Forms

  • Penn Shoulder Score
  • Shoulder Pain And Disability Index
  • Shoulder Disability Questionnaire
  • Patient-Rated Wrist Evaluation
  • Patient-Rated Forearm Evaluation
  • The Carpal Tunnel Questionnaire

Lower Extremity Forms

  • Lysholm Knee Rating Score Questionnaire
  • Knee Outcome Survey
  • Anterior Cruciate Ligament Quality Of Life Questionnaire
  • Hip Rating Questionnaire
  • Foot Function Index

Spine Forms

  • Neck Disability Questionnaire
  • Northwick Park Neck Pain Questionnaire
  • Modified Oswestry Low Back Pain Disability Questionnaire

Other Forms

  • Headache Disability Inventory
  • Dizziness Handicap Inventory
  • Craniomandibular ADL Scale
  • Short Musculoskeletal Function Assessment
  • Parkinsons Disease Quality of Life Questionnaire

Physical Therapy Hours

Mon, Wed, Thu: 7:30 am – 5:30 pm
Fri: 7:30 am – 12:30 pm
Tues: Office Closed

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