BUPTC Clinic Forms
Intake Forms
Please complete our Intake Forms prior to your first appointment as well as the appropriate Questionnaire below.
- Shoulder/Arm Questionnaire
- Concussion Questionnaire
- Low Back Questionnaire
- Neck Questionnaire
- Lower Body Questionnaire
- Knee Questionnaire
- Global Rating Questionnaire
Release Authorization Form
If you would like a copy of your medical records, please fill out the Release Authorization Form and fax to 617-358-3710 or email to buptc@bu.edu.