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    • New Patient Forms
    • Functional Assessment Forms
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  • Lincoln Locations
  • Georgetown, TX
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Forms

The following forms are available for your convenience in PDF format. Please download the appropriate forms, complete and bring to your first appointment.

Optimal Questionnaire

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Neck Disability Questionnaire

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Lower Extremity Functional Scale (LEFS)

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Oswestry Questionnaire

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Quickdash Questionnaire

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RAND Questionnaire

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Functional Dry Needling Forms

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What our patients say about Lincoln Physical Therapy & Assoc.

“I needed a place to go that was close to home and work. They got me right in and were genuinely concerned about me. They put me at ease, which I know helped to speed my recovery.”

Steve L.
former patient

“I appreciated the professional and caring way I was treated. I couldn’t have asked for better care.”

Elnore S.
former patient

“The best endorsement for a company is whether you would use that company again. In the area of rehabilitation this is a paramount question given the huge role that rehabilitation plays in recovery. I had a knee replaced and used the services of Lincoln Physical Therapy Associates. I was so pleased with their attitude, effort, positive environment and success that I will be using their service again when I get the other knee replaced. I would recommend Lincoln Physical Therapy Associates to anyone who wants to maximize their recovery.”

Doug E.
former patient

Lincoln, NE Locations

6940 Van Dorn St, Ste 103
Lincoln, NE 68506
402-483-4709  |  Fax 402-483-4097

1501 Pine Lake Road, Ste 20
Lincoln, NE 68512
402-421-2700  |  Fax 402-421-2699

2550 Superior St, Ste 100
Lincoln, NE 68521
402-476-2600  |  Fax 402-476-2604

2222 S. 16th St. Ste 220
Lincoln, Ne. 68502

402-441-1300 Fax 402-438-4230

Georgetown, TX Location

4879 Williams Drive,
Bldg 1, Suite 103
Georgetown, TX 78633
512-843-0118  |  Fax 512-843-0108

Services

Neck, Back, Knee & Shoulder Pain
Knee & Ankle Sprains
Rotator Cuff Injuries
Headaches
Total Joint Rehabilitation
Work Injuries
ACL Reconstruction
Sports Physical Therapy
Hand Rehabilitation
Orthopedic Physical Therapy
Functional Capacity Evaluations
Custom Made Orthotics

Our Professionals

LINCOLN, NE
Chad E. Wemhoff, MPT, SCS
Doug Kavanaugh, MPT, OCS
Alan D. Thompson, DPT, CHT
Meghan Mueller, DPT
Jill Korta, PT, ATC, CPI
Troy Goetsch, DPT, SCS
Brooklynn Method, DPT
Nathan Gurule, DPT
Nolan Border, DPT
Rachel Heyl, DPT, OCS
Nick Armentrout, PTA
Courtney Kaup, PTA
Taylor Curtis, PTA
Laci Harper, PTA
Sarah Evert, PTA
Jessica Stockamp, PTA
Hunter Howell

GEORGETOWN, TX
Andrew P. Creal, DPT, OCS
Kailey Davis, PTA

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