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Staff: Neal Goldberg MS, PT
Service:Follow up appointment change
Date/time:Thu, Dec 12 2019 at 10:00 AM (PST) change

Please complete the information below to schedule your appointment.

Access - FootWorks is located in the Nolo Apartments and access is secured.  When at the front door, use the call box and ring "Footworks PT"  You will be buzzed into the lobby.  Please wait in the lobby while we meet you in there to bring you up to the clinic. 

Physical therapy appointments are one hour.  Please bring comfortable clothing such as shorts or yoga pants, t-shirt, your athletic shoes....  If you are a runner with a running related injury bring your running shoes and any inserts or orthotics you may have.  

If you are using health insurance for physical therapy, FootWorks can check your coverage to avoid any surprises.  Please provide the insurance information requested below.   (All information is securely managed and maintained according to federal HIPAA requirements)  

Dynamic Cycling Analysis  / Bike Fit sessions are 2-3 hours.  Please bring your bike, cycling shoes, cycling shorts and jersey, and gloves.  



Please do not submit any Protected Health Information (PHI)

Registered user? Sign in
First name*
Last name*
Email*
Phone*
Street address*
City, state, zip*
Birthday*
Referring Physician or Practitioner
Only needed for Physical Therapy sessions
Injured Area
Only needed for Physical Therapy sessions
Insurance Company
Only needed for Physical Therapy sessions
Member ID # (include any letters)
Only needed for Physical Therapy sessions
Customer Service Phone #
Only needed for Physical Therapy sessions
Bicycle Brand and Model
Only needed for Bike Fit / Dynamic Cycling Analysis
* required field