Abilene Physical Therapy & Sports Rehab
  • Physical Therapy
    • ASTYM/IASTM
    • Back & Neck Pain
    • Balance Training
    • Dry Needling
    • Foot Pain
    • Functional Rehab
    • Joint Pain
    • LSVT BIG (Parkinson's)
    • Manual Therapy
    • Pediatric Therapy
    • Post Covid Recovery
    • Pre/Post Opertive
    • Sports Rehabilitation
    • Women's Pelvic Floor
    • Workman's Compensation
  • Other Services
    • Annual PT Exam
    • Discovery Visit
    • Medical ID Bracelets
    • Parkinson's Support Group
    • Wellness
  • Meet The Team
  • Testimonials
  • Patient Center
  • Contact
  • Insurance/Billing
  • Direct Access
  • Videos
  • FAQ
  • Career
Upper Extremity Pre-Exam Form
Chapman Location
For patients experiencing pain/injury in any part of the upper extremity:  shoulder, elbow, wrist, hand, or upper and lower arm.  Please complete to the best of your ability and submit.
Submit

The state of Kansas is a “Direct Access” state for Physical Therapy. 
​
 You can begin physical therapy with or without a referral from a physician. 
​

Now with 2 Locations to Better Serve You!
ABILENE:
103 Northwest 15th Street

Abilene, KS 67410
Phone:  785-263-3646
FAX:  785-263-3689

HOURS:  
​Monday - Friday
8 a.m. - 5 p.m.
CHAPMAN:
​1030 North Marshall, Suite B
Chapman, KS 67431
Phone:  785-922-4016
FAX:  785-922-4018

HOURS:
​Monday - Friday
8 a.m. - 5 p.m.
  • Physical Therapy
    • ASTYM/IASTM
    • Back & Neck Pain
    • Balance Training
    • Dry Needling
    • Foot Pain
    • Functional Rehab
    • Joint Pain
    • LSVT BIG (Parkinson's)
    • Manual Therapy
    • Pediatric Therapy
    • Post Covid Recovery
    • Pre/Post Opertive
    • Sports Rehabilitation
    • Women's Pelvic Floor
    • Workman's Compensation
  • Other Services
    • Annual PT Exam
    • Discovery Visit
    • Medical ID Bracelets
    • Parkinson's Support Group
    • Wellness
  • Meet The Team
  • Testimonials
  • Patient Center
  • Contact
  • Insurance/Billing
  • Direct Access
  • Videos
  • FAQ
  • Career