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patient forms

New Patient Intake Form
Click here to download
Medical History Questionnaire
Click here to download
Body Pain Scale
Click here to download
Cancelation Policy
Click here to download

Please contact us with your physical therapy needs at

(718) 576-1150

Most Medical Insurances are Accepted

Locations: 7819 Bay Pkwy Brooklyn NY 11214 & 359 W 23 St, New York, NY 10011, USA
Copyright 2026 © ProKinetics. All rights reserved.
  • Home
  • About
  • Contact
  • Services
  • Staff Information
  • Initial Patients Forms
  • FAQs
  • Blog
  • Prosthetics and Rehab for Ukrainians