ADDRESS

2406 Blue Ridge Road, Suite 190
Raleigh, NC, 27607

PHONE

919-886-2652

Patient Forms

    Lymphedema / Lipedema Forms

    If you have swelling in your legs and/or hip/buttock please fill out the LEFS and the LYMQOL-Leg

    If you have swelling in your arm or chest, please fill out the Quick DASH and the LYMQOL-Arm

    If you have more time, you may also fill out the SF-36, LLIS and the Tampa Scale for Kinesiophobia

    Pelvic Floor Dysfunction Forms

    If you have…