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 Name
Last Name
Date of Birth:
*
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Todays Date:
*
What did you come to Rue and Primavera for?
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Physical Therapy
Occupational/Hand Therapy
Pelvic Floor Therapy
Pediatric Therapy
Deep Tissue Laser Therapy
My Therapist was:
*
Wendolyn Rue PT, CLT, MLD/C
Thomas Primavera OTR/L
Dr. Dawna Giem DPT, PRPC
Dr. Brady Mays MS, OTR/L
Dr. Kylie Smith OTR/L
Dr. Amy Heitman OTR/L
My Rue & Primavera Therapy Story:
*
Do we have permission to publish your testimonial?
*
Yes
No
Yes, Anonymously
Patient Signature:
*
What would you rate R&P? 1 being dislike and 5 being absolutely love!
*
1
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5
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
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