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Physical Therapy & Rehabilitation

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Patient Intake Forms

Prior to coming in for your Physical Therapy & Rehabilitation appointment, we encourage our patients to complete their intake form (below) and bring with them. This allows our staff to learn more about each individual patient's medical history and specific care needs. To download the intake form, choose from the appropriate options below:

Pediatric Intake Form   Adult Intake Form

 

 

Questions? Contact the Physical Therapy & Rehabilitation clinic at 540.316.2680.

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