Initial Evaluation Forms
Prior to your first appointment, we ask that all of our patients fill out a Consent Form and the COVID-19 Questionnaire.
If you are in a High-Risk Category for COVID-19 (see form below), please also complete that form prior to your first appointment.
If you wish to book your appointment online, please use your full, legal name. If you have been a patient in the past with Dubuque Physical Therapy, we ask that you also please use the same date of birth, name and phone number you have used in the past. This helps prevent duplicates. Thank you!