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ACL Rehabiliation
Ankle and Foot Pain Relief
Dry Needling
Exercise Prescription
IASTM
Knee Pain Relief
Mulligan Mobilization
Myofascial Release
Orthopedic Rehabilitation
Shoulder Pain
Spinal manipulation
Taping
Vestibular Rehabilitation
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Home
About Us
FAQ
Our Services
ACL Rehabiliation
Ankle and Foot Pain Relief
Dry Needling
Exercise Prescription
IASTM
Knee Pain Relief
Mulligan Mobilization
Myofascial Release
Orthopedic Rehabilitation
Shoulder Pain
Spinal manipulation
Taping
Vestibular Rehabilitation
Forms
Blog
Contact Us
Patient Forms
In preparation for your first appointment with Bounce Back Physical Therapy, please print the Patient Forms below.
Complete the forms at your convenience, and remember to bring them with you to your first scheduled visit.
Consent Form
COVID-19 Patient Screening
HIPAA Medical Record Release
Notice Of Privacy Practices
Medical History Form With Pain Assessment
Patient Intake & Insurance Verification Forms
OUR SERVICES
Learn more about the many services we offer including Aquatic Rehabilitation Program, Vestibular Rehabilitation, Orthopedic Rehabilitation, & more.
OUR SERVICES
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CONTACT US
We are committed to helping you recover and restore health. For more information about our physical therapy services please contact us at (317) 967-8787.
CONTACT US
Learn More