Initial Visit Forms

Ally Physical Therapy

Important Forms to Fill Before Your First Visit

If you've decided to consult our therapist at Ally Physical Therapy, there are a few details that we would want to know before your first visit.

Please print the forms out at home and bring them to the office. Do not email the forms. Feel free to call us for more details.

Medical History Questionnaire 2023 Medication List Privacy Acknowledgement No Show - Cancellation Policy

Reviews

I made an appointment with Dr. Rob after receiving a series of shots in both knees. After informing him of my current arthritic condition and with his evaluation, Dr. Rob extensively worked on each knee and put me through a series of exercises. After only 10 visits, I can honestly state that I have no pain or stiffness and I am able to do things that I was unable to do in the past. When I received shots in previous years, therapy was not recommended nor did I consider it. I would highly recommend to anyone who has gone through Viscose treatment to consider physical therapy immediately following the procedure. With the experience and success that I received from Dr. Rob, I, of course, would recommend Ally Physical Therapy.

- Henry Murray