Physical Therapy Request - 2020

Initial Questions

Some of our locations have online booking availability. Please complete the following form to see available time slots. If you select a location without online booking availability, our staff will help you find a physical therapist who best fits your individual needs.

If you prefer, you may also call us at 800.493.0039. (Monday to Friday, 9:00 AM - 5:00 PM, ET)

Date: *This question is required. This question requires a valid date format of MM/DD/YYYY.

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1. HSS treats patients with orthopedic, sport, and rheumatologic concerns.

HSS offers Direct Access Physical Therapy, which is the ability to be evaluated and treated for non-surgical injuries or orthopedic conditions by a physical therapist without a physician prescription. *This question is required.

I have read the above

2. Do you have a physician referral for physical therapy? *This question is required.

3. Patient age *This question is required.

Is there a neurological condition? *This question is required.

Physical Therapy Request - 2020 - v3

Initial Questions