Choose a form below to print, fill out and bring in with you. You may also browse the brochures and print them for your convenience.

• Incontinence Frequency Volume Chart
• Incontinence History
• Incontinence Patient Medical History
• Incontinence Quality of Life Questionnaire
• Rehabilitation Prescription

• Bladder Confidence
• Drive Program
• Hand Therapy
• PASP
• Sports Acceleration

• OHSAA Preparticipation Physical Examination
• Physician Clinic Medical History
• Physician Clinic Registration

• Accel Admission Form

• Back Pain Questionnaire
• Back Pain Questionnaire 2
• Hand Therapy Medical History
• Knee, Hip, Leg, Ankle and Foot Functional Scale
• Neck Questionnaire
• Physical Therapy Medical History
• Shoulder, Arm, Elbow, Wrist, Hand - Quick Dash

• Sugarcreek Only
• Physical Therapy Medical History

• Tipp City Only
• 6 Month General Questionnaire
• 12 Month General Questionnaire
• Lower Extremity Functional Scale
• Quick Dash Outcome Measure

• 30 Minute Walk

Return to your sport in top form with the trained pros at Kettering Sports Medicine Center. Not an Athlete? Not to worry, our rehabilitation specialists assist orthopedic patients. Services include physical therapy, hand therapy and Sports Acceleration.