(817) 410-7777
PATIENT RESOURCES
FORMS
Please click on the forms to view in PDF.
PATIENT FORMS
New Patient Paperwork for Dr. Cox
New Patient Paperwork for Physical Therapy
Update Patient Paperwork for Dr. Cox
Update Patient Paperwork for Physical Therapy
Medical Release Form
PHYSICAL THERAPY RESOURCES
Bladder Diary
Bladder Retraining
Urge Suppression
Foam Roller: Front of Thighs
Foam Roller: Back of Thighs
Foam Roller: Goddess
Foam Roller: Inner Thigh/Groin
Foam Roller: Latissimus Dorsi Release
Foam Roller: Piriformis & Gluteal Muscle
Foam Roller: Side Hip Roll- Iliotibial Band
Foam Roller: Upper Back Release
INSURANCES WE ACCEPT
*These are a few top insurances we accept, please call our office for our full list of acceptable insurance plans.
We are proud to be one of only a handful of clinics that offer a full range of surgical and non-surgical options to treat the entire spectrum of problems that can affect pelvic floor, colon, and rectum.
CONTACT
300 S. Nolen, Suite 100
Southlake, Texas 76092
Phone: 817.410.7777
Fax: 817.410.9906
FOLLOW US
AFFILIATIONS
Methodist Southlake
Grapevine Surgicare
Baylor Medical Center at Grapevine
SUPER DOCTORS
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