Skip to content
  • (503) 983-8811
Online PT services available. Contact us today!
  • Facebook
  • Instagram
  • YouTube
  • Pinterest
  • Twitter
Pelvic Wellness Center of Salem

Pelvic Wellness Center of Salem

Restoring Function Through Pelvic Physical Therapy

  • Welcome!
  • About Us
    • Shannon Forrestall, MSPT, PRPC
    • Bonnie Bahler, DPT
    • Kirsten Bachmann, DPT
    • Kira Shurtz, DPT
    • Kerry Pine, DPT
    • Samantha “Sam” Butler
  • Services
    • Pelvic Pain
    • Pelvic Organ Prolapse
    • Bowel and Bladder Issues
    • Men’s Pelvic Health
    • Pregnancy Care
    • Postpartum Care
    • Pediatric Care
  • FAQs
  • Contact Us
  • Forms
    • For Patients
    • For Providers
    • Fees & Insurance
  • Resources
    • Blog
    • Social Media
    • Links of Interest
  • Careers
Pelvic Wellness Center of Salem > Forms > For Patients

For Patients

Please use the links below to download forms prior to your visit at Pelvic Wellness Center of Salem. Having the forms completed prior to your visit will save you a few minutes in the waiting room, and hopefully make your experience a bit easier on your schedule!

New Patient Packets

  • Adult New Patient IntakeQ Form
  • Pediatric New Patient IntakeQ Form

Individual Forms

  • Bladder Diary (Simple)
  • Bladder Diary (Detailed)

Getting Started

Do you have questions about Pelvic Floor physical therapy? We're here to help.

Contact Us Today!

From our Blog

  • Urinary Incontinence
  • Welcome Bonnie Bahler, DPT, and Natalie Folkert, DPT!
  • What you can expect from your Pelvic Floor Physical Therapy Appointment
  • Clinic re-opening for onsite appointments, and COVID-19 Information
  • WELCOME!

Salem Pelvic Wellness Center

1655 Capitol St. NE
Salem, OR 97301
P: (503) 983-8811
F: (503) 364-1376
salem.pelvicwellnesscenter.com

Testimonials

Thank you so much for being there and helping me on my journey of healing. Without Pelvic Wellness Center it wouldn’t have been possible.

Kora P.

Service Topics

  • Bladder and Bowel Health
  • Exercise and Nutrition
  • Incontinence
  • Menopause
  • Pediatric
  • Pelvic Pain
  • Pelvic Prolapse
  • Postpartum
  • Pregnancy
  • PWC Clinic
  • Research and News
  • Sexual Health
  • Videos
  • Yoga for the Pelvic Floor
  • Are you looking for an opportunity to practice pelvic health?
  • Blog
  • Testimonials
  • Contact Us
Copyright © 2020 Pelvic Wellness Center of Salem. All rights reserved.
Proudly powered by WordPress | Education Hub by WEN Themes