Patient Info


Thank you for selecting Restore Physical Therapy to serve your physical therapy needs. We will design a comprehensive, individualized program that will assist in meeting your specific rehab goals. We will also provide you with the confidence, knowledge and tools to understand your phases of healing, why we are doing what we are doing, and how it all works together.  We are passionate about helping your body heal best in order to reduce and prevent long-term side effects that can occur from chemotherapy and radiation.  We are grateful that you are here and have chosen us on your journey to hope, heal, and move.

Prior to your Visit

[ Complete the following forms prior to your first visit ]

› Print and fill out the following forms and bring them to your first visit: Medical History Form, Financial Agreement Form, Medical Records/HIPPA Disclosure form, and Patient Information Form.

›  You will have the opportunity to read the “Notice of Privacy Practices” at Restore on your initial visit.
Please note that Restore knows you hate paperwork.  However, this information is used to show your health insurance provider your necessity for “skilled care.”  

On your initial physical therapy visit

[ Evaluation ]

Please arrive 15 minutes early to complete a current functional outcome measure. 
› We will obtain baseline measurements of range of motion, strength, and arm girth (to detect swelling). You will be instructed on simple exercises based on your phase of recovery. Your home exercise program and patient education begin here.  This time is for you!  We will go at your pace. Please dress comfortably.

Follow-up visits

[ Treatment time will be approximately 1 hour ]

› Depending upon where you are in your recovery, a physical therapy program to suit your needs will be developed.
› In addition to manual treatment to restore range of motion, reduce swelling or lymphedema, and promote scar tissue mobility, your physical therapy program will consist of slow, progressive strengthening and cardiovascular exercises to address the side effects and long-term issues associated with cancer, chemotherapy, and radiation.

Upon discharge from physical therapy:

[Continue to lead a healthy lifestyle]

› It will be important to maintain the goals you have achieved and continue to lead a healthy lifestyle.
› Following clearance from your physician, we suggest transitioning to a wellness program under the guidance of a trained professional.