Patient Info / Forms

At Whatcom Physical Therapy, we want to maximize your time with us. Prior to your first visit, please click on the applicable form below, fill out and submit online.


In-Clinic or At-Home Visit Intake Form:

New Evaluation Form English (Fill out Online or Download)

Nueva Cita – Espanol (Completar en Línea o Descargar)


Virtual Visit Intake Forms:

New Evaluation

Existing Patient

Medicare & Self-Pay Program



Pelvic Floor Therapy Questionnaire


Whatcom Physical Therapy and Fitness is an outpatient orthopedic clinic and fitness center. In the clinic, we emphasize comprehensive musculoskeletal treatment including massage and joint mobilization, exercise, and instruction for patient independence. We also specialize in gait evaluation and orthotic fabrication (custom arch supports). We offer electrical stimulation/ultrasound, mechanical traction, inversion table, hot/cold packs, and Anodyne Treatment. A full service on-site fitness club is also available.

Whatcom Physical Therapy offers Scenar Therapy as a therapeutic service. Whatcom Physical Therapy also sells the full line of Scenar Therapy products including pro units, home units, as well as energy blankets and clothing.

“Scenar Therapy” is a cutting-edge Russian biofeedback technology designed to expedite the body’s own healing process and improve neural communications between body systems. It is especially helpful in the healing of chronic injuries, including Fibromyalgia, chronic pain, and migraines.

Please Contact Us today at Blaine, Ferndale & Roberts, WA Centers for further information about this exciting therapeutic technology.

Facilities and Equipment

3300 square feet for physical therapy

2000 square feet fitness club

The gym includes a full 11 piece Apex Circuit, 2 ellipticals, 2 Stair Master bikes, 1 stair stepper, 3 treadmills, free weights from 5-100 pounds, Smith Machine, cable system, Versaback abs/back ball. We also offer various group fitness classes, supervised childcare during specified times, showers, Comcast TV/radio, fitness assessment, and one on one personal training.

Our Specialties

  • Scenar Therapy
  • Orthotics
  • Manual Therapy
  • Back and neck pain/spine stabilization
  • Orthopedics
  • Sports Medicine
  • Balance and fall prevention
  • Bike fitting
  • Temporomandibular joint (TMJ) dysfunction
  • Headaches
  • Therapeutic exercise/movement and re-education
  • Post-operative care/joint replacement rehabilitation
  • Pediatric and adolescent sports medicine
  • Fibromyalgia
  • Osteoporosis
  • Vertigo