(208) 292-1372
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Lifestyle Physical Therapy
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    • Complex Regional Pain Syndrome
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Patient Resources

Please print and fill-out the appropriate forms below for your appointment:

Low Back Questionnaire
Lower Extremity Functional Scale
Neck Pain Questionnaire
Upper Extremity Functional Scale
Patient Information Form
Vertigo/Dizziness Questionnaire
New Patient Questionnaire
Good Faith Estimate
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370 E Kathleen Ave, Suite 500
Coeur d’Alene, ID 83815

Phone: (208) 292-1372
FAX: (208) 292-1374
Email: [email protected]

Hours:
Monday-Friday
7 AM – 6 PM

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