INFORMED CONSENT

I understand that I am receiving physical therapy LIC Strong PT, PLLC for an initial evaluation and/or treatment. This may consist of having any or all of the following: Reviewing my past medical history, a movement assessment, various objective tests & measures such as range of motion and strength, manual therapy, education regarding my plan of care and therapeutic exercise prescription. My physical therapist has informed me of any potential risks, advantages and alternative options I have for treatment. I can stop evaluation and treatment at any time and am freely able to ask my physical therapist questions at any time during the evaluation/treatment session.

Contact Info

Dmitry R. Choklin
PT, DPT, CSCS, CKTP

Cell: (917) 328-8098
Fax: (866) 282-1162
Email: dchoklin@yahoo.com

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Physical Therapy in NYC

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