Release & injury forms

Release & injury forms

Release & injury forms

The information we need to help you recover faster

From medical release forms to injury disability indexes, the following forms assist your physiotherapist in providing and coordinating the best treatment and care possible. Please find the form indicated by your physiotherapist or our administrative team from the list below, and complete it by clicking the adjacent link.

RELEASE OF INFORMATION CONSENT FORM

This form enables Craven SPORT services to gain access to personal health information that was collected by other healthcare providers, including family physicians and specialists. Please be sure to clearly indicate which information you would like access to, including any necessary dates of relevant tests, scans, or appointments. 

NECK DISABILITY INDEX

Your physiotherapist may request that you complete this form in order to paint a more objective portrait of how neck pain impacts your daily life. This can also be an important tool in measuring change in symptoms over time.

LOWER EXTREMITY FUNCTIONAL SCALE

Your physiotherapist may request that you complete this form in order to paint a more objective portrait of how lower extremity pain impacts your daily life. This can also be an important tool in measuring change in symptoms over time.

Roland morris Questionnaire

Your physiotherapist may request that you complete this form in order to paint a more objective portrait of how back pain impacts your daily life. This can also be an important tool in measuring change in symptoms over time.

QUICK DASH QUESTIONNAIRE

Your physiotherapist may request that you complete this form in order to paint a more objective portrait of how arm, shoulder, and hand pain impacts your daily life. This can also be an important tool in measuring change in symptoms over time.