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Patient Forms

Advance Physical Therapy is In-Network for the following:

• MEDICARE
• MEDICAID (21 and under)
• BCBS (excluding BlueValue, BlueHome and BlueLocal)
• TRICARE


Please choose the Intake Packet that matches your situation:

Advance Physical Therapy Patients
Intake Packet – ADULT (over 18)
Intake Packet – PEDS (under 18)

Scoliosis and Postural Restoration Center Patients
Intake Packet – SPRC (all ages)


Then please tell us a little more about your problem by completing one or more of the questionnaires related to what you would like us to help you with.

  • Back Pain
  • Scoliosis
  • Neck Pain
  • Foot & Ankle Pain
  • Other Leg Pain
  • Hip Pain
  • Shoulder Pain
  • Hand or Elbow Pain
  • Balance or Dizziness Problems
  • Headaches
  • Jaw Pain
  • Pelvic Pain

For Patients with Scoliosis

X-ray imaging can be very helpful for your therapist to develop a care plan for your unique situation. However, if you do not have x-rays, or don’t want to have x-rays, they are not required to start your care. For our younger, growing patients, x-rays are an essential part of care. Your therapist can advise you further if getting x-rays will be necessary to support your treatment planning.

If you already have x-rays, please forward x-ray images prior to visit if possible and bring to the initial visit. We recommend 2 views of the spine, from the base of the head to the hip joints.

  1. Back to Front View (preferable when possible, as opposed to front to back view)
  2. Side View

Please review: X-RAY the Smart Way
We recommend low dose X Rays for scoliosis called “EOS”: EOS Information and Locations Resource List 2024

Testimonial

1709 Legion Road
Suite 100
Chapel Hill, NC 27517-2373
(919) 932-7266

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Advance Physical Therapy, Advanced Physical Fitness, and Scoliosis and Postural Restoration Center are proudly owned and operated by KJC Corp. We are a local, physical therapist owned, female owned small business. We have been serving Chapel Hill, the surrounding, and now international communities! proudly since 1999. We are so grateful for your patronage and health partnership.

Our therapists are highly experienced in traditional physical therapy techniques and have specialized expertise in a variety of areas, including: Postural Restoration, Scoliosis Rehabilitation, Pediatrics, Orthopedics and Sports Medicine, Manual Therapy, Dry Needling, Counterstrain, Custom Foot Orthotics, Yoga, Personal training and Small Group Fitness.

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