Outpatient Information

At The University of Kansas Health System, your health, recovery and well-being are our primary goals. To make your experience with us as easy as possible, we have provided you with important information to help you prepare for your first rehabilitation appointment in Kansas City or Overland Park.

Our rehabilitation specialists work with you to ensure a complete recovery. For additional information about locations and conditions treated, visit our locations page.

New patient forms

All patients should complete the following and bring with them to their first appointment:

• Medical screening questionnaire

In addition, please fill out any additional forms below that apply to your condition or the area for which you are being seen:

Concussion/vestibular

• Neck disability survey
• Dizziness inventory
• Headache impact test

Back/neck

• Oswestry
• Neck disability index

Lower limb injury

• Lower extremity functional index

Upper limb injury

Occupational therapy

• Dash
• Upper extremity functional index

Physical therapy

• Quick dash

Hand therapy clinic

• Quick dash

Lymphedema

Head and neck

• Neck disability index
• Quick dash
• Dash
• Activities-specific balance confidence scale

Upper limb lymphedema

• Lymphedema life impact scale 1
• Lymphedema life impact scale 2
• Quick dash

Lower limb lymphedema

• Lymphedema life impact scale 1
• Lymphedema life impact scale 2
• Lower extremity functional index

New patient instructions

Here are some things you can do to ensure your appointment goes smoothly:

• Arrive 15 minutes early to complete any additional paperwork.


• Bring any relevant medical records related to the reason for your visit.


• Have a list of current medications you are taking that includes the drug name, dosage and frequency use.


• Have a current ID and insurance card with you.