ctphysicaltherapycare.com

Request an Evaluation

Appointment Request Form

Please share your information below. Our team will review your request and contact you to help confirm scheduling, insurance information, and first-visit details.

This form is not for emergencies. If you have chest pain, signs of stroke, severe trauma, loss of bowel or bladder control, sudden major weakness, or other urgent symptoms, seek emergency medical care.

Name(Required)
Main Reason for Visit(Required)

Insurance Type(Required)
This form is not for emergencies.(Required)

Prefer to Call?

Call the clinic directly

Call the clinic if you want help choosing the right appointment time, checking insurance, or understanding what to bring.

When you call, you can say:

“I’d like to schedule a physical therapy evaluation. I’m a new patient, and I need help checking my insurance.”

OR

“I was injured in a car accident or at work, and I need to know what paperwork to bring.”

Our team can help you choose the right next step.

Why Are You Booking?

What best describes why you are booking?

You do not need to know your diagnosis before booking. Choose the option that best matches your situation, and our team will help guide you from there.

Pain, stiffness, weakness, or limited movement

Start here if you have pain or movement problems but are not sure what condition you have. Your evaluation may look at where you feel symptoms, how your body moves, and what Level of Care may fit your stage.

Car accident / No-Fault

Start here if your pain began after a car accident, even if symptoms were delayed. Some patients notice pain right away. Others feel worse hours or days later. Your evaluation helps determine your starting point and what kind of care may be appropriate.

Work injury / Workers Comp

Start here if your pain began at work, during lifting, standing, driving, repetitive tasks, a fall, or another job related accident. Workers’ Comp cases may involve claim information, employer details, medical referral, and authorization steps. Our team can help you understand what to bring.

Sports injury

Start here if your goal is to return to training, running, lifting, practice, competition, or active recreation. Sports injuries may involve pain, weakness, instability, stiffness, poor control, or difficulty trusting the injured area. Your evaluation helps determine whether your body needs protection, gentle movement, strengthening, or higher level return-to-sport progression.

Post-surgical rehab

Start here if your surgeon, doctor, or medical provider recommended physical therapy after surgery. Postsurgical care often depends on your surgery type, precautions, tissue healing, pain, swelling, motion, strength, and surgeon instructions. Your physical therapy plan should match your stage and restrictions.

Balance, dizziness, walking, or fall concern

Start here if you are worried about falls, dizziness, gait, neuropathy-type balance problems, vertigo type symptoms, or walking confidence. Your evaluation may look at balance, strength, walking tolerance, safety, and movement control

Before Your First Visit

Your first visit should feel clear, not overwhelming

Before you come in, our team can help you understand what to bring, what forms may be needed, and whether a referral, prescription, claim number, or insurance verification may apply.

If you are not sure what you need, call us and we can help you prepare.

Insurance Support

Insurance support before you come

Insurance, authorization, referral, and payment questions can delay care if they are not clear. Our team can help you check what may apply to your plan or case. Coverage, authorization, referral rules, and claim requirements can vary by insurance plan, case type, and medical necessity.

After You Request

What happens after you request an appointment?

After you submit your request or call the clinic, our team may help with:

  • Confirming your contact information
  • Finding an appointment time
  • Reviewing your insurance or case type
  • Asking what paperwork you may have
  • Helping you understand what to bring
  • Scheduling your physical therapy evaluation
  • Explaining what to expect when you arrive

Your evaluation is where your therapist learns your story, checks how you move, identifies your starting Level of Care, and explains the recommended next step.

1 Submit or call

Request online or call 718 255 6229.

2 Our team contacts you

We confirm scheduling, insurance, and first-visit details.

3 Prepare for your visit

Bring ID, insurance card, referral or prescription, and any claim paperwork.

4 Your evaluation

Your therapist listens, evaluates, identifies your Level of Care, and explains the plan.

Your Evaluation

How your evaluation helps guide the plan

Your evaluation helps determine what kind of care may fit your current stage. Some patients need calming and protection first. Others need gentle mobility, strength, balance, conditioning, or return-to-work and return-to-sport training.

The right path depends on your exam, your symptoms, your irritability, your health history, your goals, and how your body responds to care.

Not Sure?

Not sure what hurts or where to start?

You can still book. Many patients do not know whether they have a muscle problem, joint problem, nerve symptom, tendon issue, disc-related symptom, balance problem, or something else.

That is why the first step is an evaluation. If you want to explore before booking, start here:

You can start with:

What you feel

Tingling, numbness, stiffness, weakness, burning, swelling, instability start with Symptoms.

What hurts

Pain by body area start with Conditions.

What stage you may be in

Protective, gentle, progressive, or enhance start with Level of Care.

How the body works

Understand load, leaks, and the kinetic chain start with Kinetic Chain.

Why Choose Us

Why patients choose CT Physical Therapy Care

Patients often want more than a list of exercises. They want to feel listened to, guided, and cared for. At CT Physical Therapy Care, we use a clear evaluation process, a Level of Care roadmap, and the Diamond Kinetic approach to understand how your body is moving and what next step may fit. We do not just ask Where does it hurt?” We also look at how the body shares load, how movement is limited, and what stage of care may be appropriate

Frequently Asked Questions

Booking Questions

Common questions about scheduling, insurance, and what to bring.

Can I call instead of using the form?

Can you check my insurance before I come?

What should I bring to my first visit?

Do I need a referral or prescription?

What if I was in a car accident?

What if I was injured at work?

What if I do not know my diagnosis?

What happens during the evaluation?

Is this form for emergencies?

ctphysicaltherapycare.com