To make your check in process faster, please print and fill out the intake form and bring it with you on the day of your appointment.

Please choose 1 questionnaire below, according to your injured body part, to fill out and bring with you.

Patient intake form can be accessed by clicking the following link:

Intake-Form-Proof-PT

Hip, leg, knee, ankle or foot:

LEFS-Initial

Spine or back:

Neck NDI-Initial

Mid backĀ NDI-Initial

Low back Oswestry-Initial

Arm, shoulder, elbow, hand or wrist:

QuickDash-Initial

Information

Address:
460 N Switzer Canyon Dr #400
Flagstaff, AZ 86001

Phone: 928-440-3106

Fax: 928-438-6702

Email: proofpt@gmail.com