To help expedite your first visit, please click on the following link to complete your intake forms online. These forms MUST be completed prior to your initial evaluation.  

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• New Patient Intake Forms (Complete Online)

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Additional Forms/Resources

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• Insurance Benefits Worksheet (PDF)

• Medical Records Release Form (PDF)

• Eminence Physical Therapy Physician Referral Form (PDF)

• Eminence Physical Therapy Notice of Privacy Practices (PDF)

HELPFUL LINKS

• National Lymphedema Network

• Lymphatic Education & Research Network

• Lymphedema Blog     

• Vascular Cures   

• Lipidema Foundation  

• American Society of Clinical Oncology   

• BreastCancer.Org    

• Champions Can! Foundation for Cancer Wellness, Inc.

PATIENT EDUCATION / INFORMATION 

• Axillary Cording (Video)

• Breast Cancer Rehabilitation Program (Video)

• Breast Reconstruction Procedures (Website)

• Cancer Fatigue (Video)

• Cancer Rehabilitation (Website)

• Caring for Your Compression Bandages (PDF)

• Chronic Venous Insufficiency (Website)

• Lymphedema Treatment with Complete Decongestive Therapy (PDF)

• Dry Needling (Video)

• Elastic Taping (Website)

• Intermittent Pneumatic Compression Pumps (Website)  

• Lipidema (Website)

• Lymphedema Risk Reduction Guidelines (PDF)

• Self-Manual Lymphatic Drainage (PDF)

            - Right Upper Extremity

            - Left Upper Extremity

            - Right Lower Extremity

            - Left Lower Extremity

            - Bilateral Lower Extremities​

•  The Lymphatic System (PDF)

• The 5 Best Supplements for Lymphedema, Edema, and Swelling (Video)