New Patient Paperwork Royce PT and Holistic Care

All new patients please click the link below to fill out our intake questionnaire.

Then click on the link below which best describes your issue and fill out the survey.

For any condition that causes pain or dysfunction in your lower extremities including hips, thighs, knees, lower leg, ankle and or feet.

Disability of Arm Shoulder and Hand

For any condition that causes pain or dysfunction in your upper extremities including shoulders, upper arm, elbows, forearm, wrist and or hand.

Oswestry Disability Index

For any condition that causes pain or dysfuction in your lower back including conditions that cause pain to travel down the legs or into the buttocks.

Neck Disability Index

For any condition that causes pain or dysfunction in your neck or upper back including pain that shoots into your shoulder blade region, causes numbness or tingling in your upper back or upper extremities.

Pelvic Floor Disability Index

If you are having pain or dysfunction in your pelvis including fecal or urinary incontinence or difficulty emptying urine or stool. I practice 100% external treatments for pelvic health conditions. Over the years I have developed a noninvasive treatment plans for common pelvic floor dysfunctions for those who would prefer to avoid internal examination and treatment.

Dizziness Handicap Inventory

For any condition that causes dizziness, fogginess, confusion, or wooziness either standing, laying down, moving or not moving.