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Physical & Massage Therapy

Welcome New Patients

 

The Following 5 Forms Are Essential For All New Patients

ASSIGNMENT OF BENEFITS

NEW PATIENT INTAKE

PRIVACY POLICY (HIPPA)

BACK PATIENTS ONLY

NECK PATIENTS ONLY

 

The Following Form Are Required For any United Healthcare Patients

PATIENT HEALTH QUESTIONNAIRE

PATIENT HEALTH QUESTIONNAIRE EN ESPANIOL

 

 

 

The following prescription can be taken to your doctor if you have not already been referred to Physical Therapy

REFERRAL FORM



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