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To contact us: |
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Phone: 555-555-5555 Fax: 555-555-5555 E-mail: someone@example.com |
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All patients must fill out, sign and date: · Consent for treatment, financial policy. (PDF) · Patient intake form (personal info, insurance info, etc.) (PDF) · Privacy Policy (HIPPA) (PDF) · No show / cancellation policy (PDF) Optional: · Credit Card Authorization Form Other forms / information. |
If you would like to save some time at your first appointment, you can print out the following forms and fill them out before your first appointment. |
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STAR Physical Therapy & Fitness |
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Forms |