"You’re one of the most important people in my life. You help keep me able to live and enjoy my life again."
— MS, patient with interstitial cystitis

Paperwork for Your Visit

Click on the links below to print out the paperwork necessary for your first physical therapy visit:

1. Condition and Consent Form

2. Medical and Health History Form

If you have a bladder or bowel problem or pelvic pain, please also complete the following form:

3. Pelvic Symptom Questionaire

You will need Adobe Reader software in order to view and print these documents. If you do not have Adobe Reader, please click here to download and install.