Skip to content

Blue Ridge

Physical Therapy

  • Home
  • Staff
  • Registration Paperwork
  • Educational Resources
  • Patient Resources
  • Directions
  • FAQ
  • Testimonials

Registration Paperwork

To facilitate the registration process, please print and fill out all of the following paperwork before your first visit:

Patient Registration Form

Patient Medical History Form

Cancellation Policy Agreement

Social Security Number Request Authorization

Medication List

Falls

Exercise Bands

Depression Scale

Consent Form

Pain Surveys

Lower Extremity Pain

Low Back Pain

Neck Disability

Shoulder Pain

Disabilities of the Arm

Contact Us

25 Crossings Lane Suite 1, Lexington, VA 24450
Email: bill@blueridgept.com
Phone: (540) 463-5888
Fax: (540) 463-4406

About Us

Welcome to Blue Ridge Physical Therapy, a family owned, Christian based physical therapy practice that values you as a patient. Our experienced staff is committed to make your treatment as comprehensive, pain free, and cost efficient as possible. It is our hope that you will never need physical therapy services; however, if you do it would be our privilege to assist you in your recovery. BRPT is a Certified Astym Provider

Navigation

  • Home
  • Staff
  • Registration Paperwork
  • Educational Resources
  • Patient Resources
  • Directions
  • FAQ
  • Testimonials
Blog at WordPress.com.
  • Follow Following
    • Blue Ridge
    • Already have a WordPress.com account? Log in now.
    • Blue Ridge
    • Customize
    • Follow Following
    • Sign up
    • Log in
    • Copy shortlink
    • Report this content
    • View post in Reader
    • Manage subscriptions
    • Collapse this bar