Patient Info / Forms

The Revive Physical Therapy team is committed to finding the root cause of your condition and developing a treatment plan that addresses your needs and helps you achieve your goals.

Preparing for your first appointment at Revive Physical Therapy

Before your visit, make a list of questions you’d like to ask during your first meeting and call our offices ahead of time to verify your insurance benefits.

You will register at the front desk when you arrive at our office. We’ll ask for your insurance information and any other paperwork you may have brought with you (i.e., referral, X-ray or MRI report, or other medical reports). Be prepared to talk about your medical history, previous treatments, limitations you’re dealing with, and other relevant details.

What to bring:

  • A valid photo ID
  • Insurance information, including your insurance card and any necessary authorization or referral forms
  • A list of current medications, allergies, and any relevant past surgeries

What to wear:

  • Comfortable, loose-fitting clothing that allows for easy movement and provides access for the physical therapist to examine and treat the affected area. (Athletic wear or clothing that can be easily adjusted is ideal.)
  • Supportive, closed-toe shoes, such as sneakers, to ensure safety and comfort during the session.
  • Avoid wearing tight or restrictive clothing, which may hinder your ability to move freely during the session.

When to arrive:

  • Plan to arrive 10-15 minutes before your scheduled appointment to complete any necessary paperwork and settle in. This will also give you time to ask questions and address concerns before your session begins.
  • During your first session, one of our physical therapists will typically perform a comprehensive evaluation, develop a therapy plan for you, and provide any necessary education, pain relief, or home exercises.
  • The evaluation will take up most of your appointment time. It includes a review of your medical history, an assessment of your current condition, and an examination of your range of motion, strength, and movement patterns. Our therapist will also discuss your goals and determine how long and how frequently you should attend your physical therapy sessions.
  • Our therapist will then use information from the assessment to develop your customized treatment plan. They’ll explain the details of your plan and offer any relevant information to help you understand why your treatment plan will be effective.
  • If you’re struggling with pain or mobility limitations, your first session will likely include some hands-on treatments to address these concerns, such as manual therapy or other modalities.
  • Your therapist may also give you home exercises to help support your progress in therapy.
  • After your first session, you’ll arrange the remaining sessions at the front desk before leaving. During those subsequent physical therapy sessions, we’ll build on the initial evaluation to create the most significant impact possible. Our goal will be to help you recover quickly and achieve meaningful, lasting results.
  • Our Burgaw and Wallace, NC therapists will keep a detailed record of their findings and treatment plan and can provide those to any medical professional of your choosing.
  • Communicating openly and honestly with your physical therapist throughout each session is essential, as is sharing any concerns or questions you may have. This will help ensure the most effective treatment and a positive experience. We genuinely want to listen, understand your concerns, and provide you with the best possible solution!

Want to save time?

Fill your forms out beforehand!

If you wish to save time on your first visit, please complete your intake paperwork online or print the patient forms below. Be sure to bring them with you to your appointment. If you do not have time to print them ahead of time, you should arrive at least 25 minutes early to give yourself plenty of time to finish them before your appointment.

1Intake Form

Intake Form

2Medical History Form

Medical History Form

At Revive Physical Therapy, we are here to help you make the most of your physical therapy sessions. Contact us today!

Your Next Steps…

  1. Request An Appointment

  2. Receive A Custom Treatment Plan

  3. Work Hard and Progress In Your Recovery

  4. Recover & Enjoy Life Pain-Free!

YOUR JOURNEY TO ACTIVE LIVING BEGINS HERE