Physical Therapy (PT) Zone

Forms:

Spanish:

Para llenar en Internet:

1) Solicitud / ​Request Form

2) Paciente Nuevo/New Patient

3) Seguimiento/
   Followup Form

Para imprimir:

Solicitud/Solicitation.pdf
File Size:	213 kb
File Type:	pdf

Download File

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Paciente Nuevo.pdf
File Size:	824 kb
File Type:	pdf

Download File

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Seguimiento / Follow.pdf
File Size:	676 kb
File Type:	pdf

Download File

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French:

Solicitation Form (French)
File Size:	178 kb
File Type:	pdf

Download File

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New Patient Form (French)
File Size:	199 kb
File Type:	pdf

Download File

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Follow Up Form (French)
File Size:	180 kb
File Type:	pdf

Download File

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Bengali/Bangla:

Solicitation Form (Bengali/Bangla)
File Size:	216 kb
File Type:	pdf

Download File

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​Disclaimer: SWM Standing Frames are great therapeutic devices, however, they are not for everyone.

Currently, our standing frame works for children with a maximum height of 110cm or 44in who can fully extend their knees and do not have seizures.

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Learn how to properly use a standing frame: