Guenthner Physical Therapy
White Oak Office
5557 Cheviot Rd
Cincinnati, OH 45247
513-923-1700
Fax: 513-741-6631
Bridgetown Office
6061 Bridgetown Rd
Cincinnati, OH 45248
513-598-3202
Fax: 513-598-4125
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About GPT
Outreach

GPT Outreach
For Clients Healing Injuries, Restoring Lives.

Your Last Appointment

At Guenthner Physical Therapy, we take your care seriously. The outcome of your program matters to us, as does your perception of our services. If you were unable to fill out your discharge paperwork at the office, we would appreciate you taking a few minutes to fill out these forms and send them back to us. Please choose the pain questionnaire that is related to your diagnosis and that you are familiar with from the program. In advance, we thank you for your time and feedback.

Back Pain Rating
Lower Extremity Pain Rating
Neck Pain Rating
Upper Extremity Pain Rating (2 pages)

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