Forms & Information

Providence Rehabilitation Services

Forms & Information

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ACL Injury Prevention Program Introduction

Please read this important information before beginning the program.

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Providence Rehabilitation Services Intake Form - Pelvic Health Intake

Providence Rehabilitation Intake Form for Women's, Men's and Children's Health diagnosis.

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Rehabilitation Services Conditions of Service Form

Rehabilitation Services Consent to Services

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Rehabilitation Services Intake Form - Lymphedema

Rehabilitation Services intake form for Lymphedema diagnosis

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Rehabilitation Services Intake Form - Physical Therapy

Rehabilitation Services Intake Form-General

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Rehabilitation Services Intake Form - Vestibular

Rehabilitation Services Intake Form for Vestibular, Vertigo, Dizziness diagnosis

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Rehabilitation Services Medication List Form

Rehabilitation Services Medication List Blank Form

From the experts

After breast cancer: Preventing lymphedema

Lymphedema may affect up to 60 percent of women after breast cancer treatment. This abnormal accumulation of fluid, or “edema,” is caused by a blockage of the lymphatic system. Often first noticed as a swelling, heaviness or tightness in the arm, hand, wrist, fingers, breast or torso on the same side as the affected breast, it can happen right after surgery or radiation, or years later.

Ask an Expert: Biologic response modifiers (BRMs)

Q: I’ve heard about new “biologic” therapies for the treatment of rheumatoid arthritis. How do these medicines work? 

Ask an Expert: Controlling Urge Incontinence

Q: "You know how when little kids realize they need to go to the bathroom, it needs to be now? I've become that way: I need to go often, and there's no delaying – otherwise I end up with an adult version of 'an accident.' I'm afraid of ever being very far from a restroom! Am I stuck with this for the rest of my life?"

Ask an Expert: Diet and arthritis flare-ups

Q: Are there certain foods that can prevent arthritis flare-ups? And is it true that eating vegetables like tomatoes and potatoes can actually aggravate arthritis?

Ask an Expert: Glucosamine and chondroitin

Q: Can glucosamine and chondroitin prevent joint cartilage from wearing down?

Ask an Expert: How do I get started on an exercise program if I’ve been a couch potato all winter and spring?

Q: The weather has been so bad, I’ve basically been a couch potato. Now that the weather’s improving, I want to get out this weekend and get active. How should I begin an exercise program?

Ask an Expert: Knuckle cracking and arthritis

Q: Does cracking my knuckles increase my risk of arthritis?

Answer from Peter Bonafede, M.D., medical director of the Providence Arthritis Center at Providence Portland Medical Center:

Ask an Expert: Plantar Fasciitis

"When I first get out of bed in the morning I can hardly walk because of the pain in my heel. What could this be?"

Ask an Expert: Shape up this summer with expert exercise advice

Everyone gets motivated to get more active when the summer sun comes out. Before you get started, make sure you’re setting yourself up for success and preventing injury by considering these tips from our experts.

First aid for soft-tissue injuries

Following an injury such as a sprain, strain or muscle pull, the correct first aid treatment can help to prevent further complications and lead to faster healing and return to activity.

How can I be treated by the same therapists who treat the Portland Timbers?

Our newest rehab clinic is Providence Sports Care Center, located inside JELD-WEN Field (formerly PGE Park). Here, you will receive the same expert treatment the Portland Timbers receive, from our skilled team of therapists.

Race day tips for runners from Providence Sports Care Center

The Hood to Coast Relay is one of the most exciting running events in the Northwest. These race-day tips can help you enjoy your race instead of suffering through it.

Ski and Snowboard Safety Tips

As ski season approaches, skiers and snowboarders can’t wait to hit the snow and leave their first tracks of the year. Before you step into your bindings, keep in mind that a day on the slopes can be dangerous.

Using Aquatic Therapy to Recover From a Stroke

Answers from Kathleen Cutter, physical therapist with Providence Rehabilitation Services:

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