Movement Revolution
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Movement Revolution
(312) 465-3921

Client Documents & Forms

General

  • Medical Form
  • Waiver
  • General Medical Form

Multiple Sclerosis

  • Member Application Form
  • Quality of Life (MSQOL)-54 Instrument

Parkinson's Disease

  • Member Application form
  • Waiver & Agreement
  • PDQ-39
  • Balance, Gait & Fall – ABC Scale

Spinal Cord Injury (SCI)

  • Member Application Form
  • Quality of Life Index

Stroke

  • Member Application Form
  • Stroke Impact Scale

Traumatic Brain Injury (TBI)

  • Member Application Form

Everyone with a neurological condition has the opportunity to significantly benefit from specialized exercise and wellness programs.

THINK BIG. MOVE STRONG.
NEVER QUIT.

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Get In Touch: info@movement-revolution.com (312) 465-3921
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