McNerney & Associates, P.A.
Physical Therapists
410-740-1047
  • Home
  • Contact Us
  • Directions
  • Forms
  • About Us
  • Services
    • Services
    • Accomodations
  • Insurance/Payment
x

McNerney and Assoc. is following all CDC guidelines and are now allowing vaccinated patients to walk in to the clinic for their scheduled appointments without calling first. Please continue to wear your mask in to the waiting room and into the PT’s room. If you are fully vaccinated, It will then be up to you and your physical therapist together to decide what you feel comfortable with in regards to wearing your mask during your treatment.

McNerney & Associates, P.A. Patient Forms

patient forms
Neck – Initial Visit LEFS – Initial Visit Herdman Dizziness Questionnaire Dizziness Handicap InventoryDash – Initial Visit POTSOswestry (Back) – Initial Visit Medication List Pelvic Floor Patient History Pelvic Floor Distress Questionnaire

Helpful Forms

New Patient Form Returning Patient Form View all forms

For the following treatment areas, please fill out the corresponding forms:

Neck: Neck Disability Index
Mid and Low Back: Modified Oswestry Questionnaire
Lower Extremity: LEFS
Upper Extremity: DASH
Vertigo: Dizziness Handicap Inventory, Herdman Dizziness Questionnaire
POTS: NMH-POTS Functional Inventory
Pelvic Floor Patient History Form, Pelvic Floor Distress Questionnaire
5024 Dorsey Hall Drive, Suite 103
Phone: 410-740-1047
Ellicott City, MD 21042
Fax: 410-740-2280

© McNerney & Associates, P.A. All Rights Reserved
Web design and development by Optimist Studio   Sitemap