Pelvic Floor Treatment
Welcome Form
Welcome to Grounded Balance LLC, specializing in pelvic health and wellness for chronic pelvic pain disorders as well as bladder, bowel, and sexual health.
Below is some information for your first appointment and requested intake forms. I look forward to meeting you and working together soon!
The initial evaluation is typically 75 - 90 minutes long. This is an important individualized time for us to really get to know each other. You will find attached Intake Forms, please take your time to fill it out completely 24 hours prior to your initial evaluation.
Grounded Balance LLC is a fee for service practice and full payment is due at the time of service. Cash, check, and many major credit cards are all accepted.
What to Expect with Your Evaluation
The initial evaluation is where you get an opportunity to review not only why you are here, but your personal history and all the events, past treatments, and your own thoughts about why you are having this problem. I spend more time on the initial intake talking with you and going over your forms than any other part of the exam because I find if you listen to your patients and ask the right questions, they will lead you to the solutions about how to help them.
I then perform a standard OT evaluation "screen" of movement, strength, reflexes, flexibility, balance, and palpation of bony landmarks and pain. If warranted and time, there may be an internal pelvic evaluation to determine the cause of pain, weakness, or incoordination of the muscles causing dysfunctions such as constipation, prolapse, or incontinence.
The internal examination is only performed with your written and verbal consent, explained with a pelvic muscle model first and can be stopped at any time. You are also welcome to bring someone with you to be present during the examination. After evaluation is completed, we discuss the findings and determine a plan of action to help you reach your goals, and when and if you need to return for follow-up.
Thank you for choosing Grounded Balance LLC. If you have any questions regarding the attached forms and policies, please feel free to call or text me at 909-519-2632 or email me at groundedbalancelv@gmail.com.
Respectfully,
Heather Fox OTR/L
New Patient Intake Form