COVID-19 Screening Questionnaire:

  1. Have you or anyone in your household had any of the following symptoms in the last 14 days: sore throat, cough, chills, body aches for unknown reasons, shortness of breath for unknown reasons, loss of smell, loss of taste, fever at or greater than 100 degrees Fahrenheit?
  2. Have you or anyone in your household been tested for COVID-19?
  3. Have you or anyone in your household visited or received treatment in a hospital, nursing home, long-term care, or other health care facility in the past 14 days?
  4. Have you or anyone in your household traveled outside the state of Vermont, or hosted anyone from outside the state, in the U.S. in the past 14 days?
  5. If yes, how long ago? (Patient or household member must have quarantined for 2 weeks or 1 week plus COVID test)
  6. Are you or anyone in your household a health care provider or emergency responder?
  7. Have you or anyone in your household cared for an individual who is in quarantine or is a presumptive positive or has tested positive for COVID-19?
  8. Do you have any reason to believe you or anyone in your household has been exposed to or acquired COVID-19?

Pelvic Health, a specialty physical therapy practice, is a therapist-owned private practice where you will receive personalized, one-on-one  care in a relaxed, yet professional environment.  We will team with both you and your other healthcare providers to develop and implement a comprehensive treatment plan.

Your treatment plan may include a variety of manual therapy techniques, behavioral therapy, therapeutic exercise, modalities including electrical stimulation, heat/ice and neuromuscular re-education including the use of biofeedback. We will work with you; within your comfort level, time constraints and any financial concerns to provide the best care possible to restore your pelvic health.

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