(731) 642-0778

Ron French, OT, CHT

Restoring Quality of Life

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Request Forms

We can email the necessary intake forms you need to register and begin treatment.  Once you print the forms, complete, and bring to your first visit (evaluation).  Usually an evaluation takes about 45-60 minutes.


  • Patient Registration
  • Privacy Policy Acknowledgement
  • Privacy Policy
  • Patient Medical History

  • DASH: Shoulder and arm functional assessment

  • Neck/Back Functional Assessment



This ensures you receive the correct forms required by your insurance carrier.
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What our patients are saying...

I felt the staff truly cared about my well-being and progress.  Every session was more like visiting a friend.  An all-around positive experience.

Austin M.