Patient Info / Forms

Are you living with a new or persistent pain condition? Physical therapy may be a good option for you.

At Movement Restoration Physical Therapy, I am dedicated to helping you identify the cause of your pain and creating a custom treatment program that will allow you to return to normal activities pain-free.

At my Sioux Falls physical therapy clinic, I am here to help you get back to enjoying your life, free of nagging aches and pains.

To make an appointment or learn more about my services, simply call me today at (605) 501-6685 to request an appointment.

What You Should Expect Your First Visit

  • When you arrive at my office, you will register with me in the reception area. I will help you navigate the insurance process and treatment program so you can focus on your recovery.
     

  • Next, we will proceed with the initial evaluation. During the evaluation, I will ask questions about your medical history, current pain, or injury. Try to be as honest as possible. Open communication helps me understand your problem.
     

  • Expect your movement, strength, coordination, and much more to be evaluated during your evaluation. My purpose is to help you, so please ensure you communicate to me if anything is hurting or bothering you during the examination!
     

  • I will recommend and prepare a course of treatments to ensure the quickest recovery and the best results. Following the examination, I will discuss the recommendations with you.
     

  • There will be some treatments performed on the first day to get you started on your road to recovery. However, during the next visit, you will get into the full swing of your treatment plan.
     

  • Following your initial exam, you schedule your series of visits with me at a time and date convenient for you. The amount of therapy needed will be determined depending on the results of your exam. I offer many convenient appointment times, however, prime times can become busy, so it is best to book ahead as much as possible.
     

  • After you leave your appointment, I will write up my findings and treatment plan to submit to your referring physician or another medical professional who you choose.
     

If you have any questions at any time, please don’t hesitate to call. We want to ensure your satisfaction and full recovery.

How To Prepare For You First Visit

  • Make a list of questions that you have to discuss on your first visit.
     

  • List signs and symptoms that can be of importance to the therapist.
     

  • If available, please have in writing key past medical history, previous treatments, current medications, and other important information.
     

  • Please call our office at (605)-501-6685 to verify your insurance benefits.
     

  • Bring a copy of your insurance card and a photo ID with you.
     

  • Please arrive 15 minutes early for your first appointment.

Please Fill Out Your New Patient Forms Before Your First Visit

If you would like to save time on your first visit, please print the following patient documents below, fill them out, and bring them with you to your first appointment.

Don’t have time to print them off beforehand? No worries! Simply allow extra time before your appointment to fill them out in my clinic. At Movement Restoration Physical Therapy, I am here to help you get the most out of your visit – contact me today!​

Patient Intake Form

Medication List

Consent to Share Information

Permission Waiver Form