Patient Testimonial

Patient Testimonial

Tell us in your own words about your experience here. Be sure to include activities you had trouble with before therapy compared to how you are doing now. We send testimonials to your referring physician.
Patient Name*

First NameLast Name
Date of Birth:*

MonthDayYear
Todays Date:*
What did you come to Rue and Primavera for?*

Physical TherapyOccupational/Hand TherapyPelvic Floor TherapyPediatric TherapyDeep Tissue Laser Therapy
My Therapist was:*

Wendolyn Rue PT, CLT, MLD/CThomas Primavera OTR/LDr. Dawna Giem DPT, PRPCDr. Brady Mays MS, OTR/LDr. Kylie Smith OTR/LDr. Amy Heitman OTR/L
My Rue & Primavera Therapy Story:*
Do we have permission to publish your testimonial?*

YesNoYes, Anonymously
Patient Signature:*
What would you rate R&P? 1 being dislike and 5 being absolutely love!*
Thank you for your testimonial, it helps us become a better clinic. We would greatly appreciate your review on Facebook, Google and/or Yelp!

-Rue and Primavera Therapists and Staff
Should be Empty:

Thank you for your testimonial, it helps us become a better clinic. We would greatly appreciate your review on Facebook, Google and/or Yelp!