(785) 263-3646 · 103 NW 15th St, Abilene, KS 67410
Pre-Exam Form · Abilene, KS

New Patient Pre-Exam Form in Abilene

First appointments go one of two ways. Either you spend the front half of it reconstructing your own history from memory, or you walk in with it already sorted. This page is how you get the second version. Everything your therapist will ask at our Abilene clinic, listed in advance.

01Before Your First Visit

What your new patient pre-exam covers.

Why you are coming in

The reason for the visit in your own words, not medical ones. Where it is, when it started, and whether there was a moment you can point to or whether it simply arrived. Then whether it has been getting better, worse, or holding steady since, and how it has changed since that first week.

What we treat →

What makes it better, what makes it worse

Sitting, standing, walking, lifting, sleeping, the first hour of the day, the last hour of a shift. Heat, ice, movement, rest. Tell us what reliably winds it up and what reliably calms it down, and name the things you have quietly stopped doing because of it.

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Your medical picture

Treatment you have already had for this, including imaging, injections and any surgery, plus what changed after each. Then the wider picture: your current medications with dosage and frequency, past surgeries, and other conditions such as diabetes, heart or blood pressure issues, osteoporosis or pregnancy.

Insurance we accept →

What you want back

This is the one people undersell. Not “less pain”, but the actual thing: the stairs at your daughter’s house, a full shift without the brace, lifting a grandchild, sleeping through the night, being on the mower again. Name it plainly, because it becomes the goal we measure everything else against.

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Good to Know

This is preparation, not a requirement. Call (785) 263-3646 and answer these questions on the phone, or arrive a few minutes early and go through them with us at the front desk. Nobody is turned away for showing up with nothing filled in. Use the form below and we will call you back to confirm your time.

Request an Appointment

Ready when you are.

HoursMon - Fri: 8:00 am - 5:00 pm
Walk-insCall ahead
Book your evaluation. Two Kansas clinics. One on one care.
Step 1 of 5
First things first. What's your name?
We'll need a name to book you in.
Best number to reach you?
A phone number lets us confirm same-day.
And your email?
We'll send your confirmation here.
What questions do you have about your pain or injury?
A few words is all we need.
Look right? Send it.
✓
Request received.

We'll call within business hours to lock in your time.

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