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South Burlington Physical Therapy
1879 Williston Road, Unit 2, South Burlington, VT 05403 - Phone 802.399.2318 - Fax 802.399.2505 - admin@sbptvt.com

South Burlington Physical Therapy

For the Lifestyle Athlete

  • About
    • Our Mission
    • Staff
      • Crystal Abbate, PT, DPT
      • Casey Baczewski, PT, DPT
      • Henry Mercier, ATC, MS
  • Physical Therapy
    • Rehabilitation
    • Training Integration
    • Postural Restoration
    • Balance
    • Dry Needling
    • Telemedicine
    • Concussion Rehabilitation
  • Concussion
  • Performance Assessments
  • Resources
    • Insurance Information
    • New Patient Forms
    • FAQ
    • Friends of SBPT
    • Blog
    • Exercise Library
  • Contact

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Home
New Patient Forms

New Patient Forms

If you are a new patient, please download and fill out the following forms and bring them to your first visit.

All Forms
General Intake Form
Health Intake Form
Medical History
Covid 19 Waiver

Body Part Questionnaire (Best Matches) 
Back
Shoulder
Neck
Falls
Arm/Elbow/Wrist
Hip/Knee/Ankle Survey 1
Hip/Knee/Ankle Survey 2
Headache

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Office Information

(P) 802.399.2318
(F) 802.399.2505
admin@sbptvt.com

Mon – Thur:  7 am – 6 pm
Friday:  7am – 3pm

Weekends available upon request.

Primary Location

1879 Williston Road
Suite 2
South Burlington, VT 05402

Other Locations

Droptine CrossFit
20 Beauregard Dr
St Albans City, VT 05478

802 CrossFit
16B Morse Dr
Essex Junction, VT 05452

Mountain Trail CrossFit
113 Acorn Ln
Colchester, VT 05446