Patient Information

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Physical Therapy Forms

Admission Form – English (En Espanol )
Arm & Hand – English (En Espanol)
Hip & Pelvis – English (En Espanol)
Knee – English (En Espanol)
Lower Back – English (En Espanol)
Lower Leg – English (En Espanol)
Neck – English (En Espanol)
Shoulder – English (En Espanol)

Pain Management

New Patient Forms – Download here
En Espanol

Visitor Policy & Masking

Effective December 1, 2022, UMass Memorial Health -Harrington has implemented a new visitor policy:

Inpatient Medical Units – up to 2 visitors are allowed at a time (visiting hours are 10 AM to 8 PM)

Outpatient Areas and Physician Services Offices – one visitor is allowed

Emergency Departments in Southbridge and Webster – one visitor is allowed

Masks are optional and encouraged for patients and visitors.
Our top priority is to protect you, our patients, communities, and healthcare workers.

Physical Therapy Forms

Pain Management

508-765-9771

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Our System of Care

Visitor Policy & Masking