Pelvic Floor Physical Therapy Intake Form

Thanks for your interest in our pelvic floor physical therapy services. Your physical therapist has an intake form that they’d like you to complete prior to your first appointment. Please download the form (see the options below), fill it out, and bring it with you to your appointment.

Pelvic Floor PT for Females
Pelvic Floor PT for Males

Locations for Pelvic Floor Physical Therapy

For an appointment at any of our Care Centers, please call (855) 505-3335.
You can also call the Care Center directly using the info below.

Request an Appointment
gbu-request-appointment

Dedham

GBU Headquarters
910 Washington Street
Dedham, MA 02026
(p) (781) 762-0471
(f) (781) 762-8072

Doctors & Physician Assistants:
Michael J. Curran, M.D.
Angel Marie Johnson, M.D.
Virginia O'Neil, PA-C
Donna Robbins, RPA-C
Abbey L. Rubin, PA-C

Nurse Navigator
Marie E. Albert, RN, Nurse Navigator

Pelvic Floor Physical Therapists:
Alicia Jeffrey-Thomas, PT, DPT, PRPC

we-have-moved-1

Plymouth

45 Home Depot Drive
Plymouth, MA 02360
(p) 508.732.6770
(f) 508.732.6780

Doctors & Physician Assistants:
Michael Geffin, M.D.
S. Craig Gillard, M.D.
Kristina Leedham, PA-C

Nurse Practitioner
Daniel Nazzaro, APRN MSN FNP-C

Pelvic Floor Physical Therapist
Cathryn Morris, PT, DPT