WELCOME TO EMH PHYSICAL THERAPY, PC

GENERAL
MEDICAL HISTORY

HIPAA FORM

FEMALE PELVIC FLOOR
QUESTIONNAIRE

MALE PELVIC FLOOR
QUESTIONNAIRE

Note: To view these forms you will need the free Adobe Acrobat Reader.
If you don't have it, download it now.



CALL TODAY: (212)288-2242 or email info@emhptnyc.com to schedule a
PT appointment or ask a question to our director, EVELYN HECHT, PT, ATC








CALL TODAY: (212)288-2242 or email info@emhptnyc.com to schedule a
PT appointment or ask a question to our director, EVELYN HECHT, PT, ATC