New Patient Forms


In order to better meet our patients' needs we have included a link to our registration form.       
Click on the link and print and complete the form prior to coming into the clinic for your initial evaluation.

To view the patient questionnaire you will need Adobe Acrobat
reader. If you do not currently have acrobat reader you can
download the software for free by clicking here.

If you have any questions please contact us at
815-756-8524 (DeKalb Sycamore Road), 815-756-2369 (DeKalb Lincoln Highway), 815-562-3299 (Rochelle), or 815-784-6417 (Genoa).

How long will each visit last?

The first session will last approximately one hour. Subsequent sessions are a half-hour to an hour in length.

freedom to move

Your Right to Choose

The decision of where you go to receive treatment is
yours. If you have a specific therapist or practice you
would like to go to, you should let your doctor or
insurance company know this. Not all physical
therapists or practices are the same and the choice
of your provider is yours.