For your safety, due to the COVID-19 pandemic, we are currently offering telehealth rehabilitation services for both new and existing physical, occupational and speech/language therapy patients. These telehealth services are provided on the Doxy.me video platform and are offered Monday thru Friday, allowing you to seek the care you need from the comfort and safety of your own home and at a time that is convenient for you. Telehealth rehabilitation services are currently being reimbursed by most major insurance carriers. Please call 978-287-8200 with questions or if you are interested in scheduling an appointment with one of our therapists.

Patient Forms

The following forms are intended for telehealth patients of the Clough Family Center for Rehabilitative and Sports Therapies. Patients are asked to fill out the appropriate forms and email them back to your therapist. These forms will open as PDF documents and the fields should be editable. 

For pediatric patients:

For pelvic health patients:

For all patients:

Tips to make your telehealth visit go smoothly

We recommend ensuring your device will work properly before the visit. Phones, tablets and computers with cameras can be utilized.

Please click on the appropriate Doxy.me link in the below chart before your visit to ensure that you can access the site and that your camera and microphone work properly.

Please wear comfortable clothing for your visit. It is helpful if you can move your camera around so that your therapist can possibly see you stand for postural assessment, walk for gait assessment, and lie down on your sofa, bed or floor to perform visual measurements as appropriate.

The following links will help you troubleshoot the most common problems people have with accessing the site:

Doxy.me Links

Therapist Doxy.me Link
Aumueller, Sharon doxy.me/sharonaumueller
Benedix, Anna doxy.me/annabenedix
Borowski, Claire doxy.me/slpclaire
Butler, Mary Ann doxy.me/slpmaryann
Byrne, David doxy.me/dbyrnecht
Campbell, Melissa doxy.me/melissalcampbell
Canowitz, Jennifer doxy.me/jenniferland
Chatiwala, Naseem doxy.me/ptchatiwala
Chausee, Elizabeth doxy.me/lizchauseept
Deardorff, Marnie doxy.me/marniedeardorff
Eitan, Noam doxy.me/noameitanpt
Elwood, Hollie doxy.me/hollieelwoodpt
Evans, Kate doxy.me/drkateevans
Evans, Mary doxy.me/maryevansdpt
Fontas, Crystal doxy.me/emersonpt
Gibbons, Irene doxy.me/otirene
Gravel, Jessica doxy.me/ptjessicagravel
Iby, Chris doxy.me/chrisibypt
Indigaro, Samantha doxy.me/samindigaro
Kelly, Nicole doxy.me/nkellyot
Kim, Rachel doxy.me/cloughrehab
Lammerding, Kara doxy.me/klammerdingdpt
Lanni, Antonella doxy.me/Anto
Leigh, Josh doxy.me/joshdptocs
Lisowe, Steve doxy.me/stevenlisowe
Lizotte, Laura doxy.me/otlauralizotte
Lorden, Julie doxy.me/jlorden
Lovette, Brenda doxy.me/brendaslp
Marcotte, Joe doxy.me/emersonrehab
McIntyre, Jessica doxy.me/jessmcintyre
Mcmanus, Caroline doxy.me/carolinemcmanuspt
Mistretta, Sarah doxy.me/mistrettaslp
O'Connor, Matt doxy.me/mattocpt
Pitwood, Lara doxy.me/emersonhands
Robinson, Courtney doxy.me/courtneyrobinson
Schumacher, Nick doxy.me/nschumacher
Sklar, Robin doxy.me/robincht
Thornton, Mason doxy.me/masonthorntondpt
Tran, Ken doxy.me/mrkentran
Walsh, Joy doxy.me/joywalshslp
Wei, Victor doxy.me/vweipt
Winrow, Dana doxy.me/danawpt
Wood, Kristen doxy.me/kristenwood