New patient forms
Please be sure to choose the correct intake forms as there are three sets; one for "Physician Visit", "Physical Therapy" and one for "Acupuncture".  If you have an appointment for Osteopathic treatment, please fill out the forms for "Physical Therapy." 

Physician Visit
Mental Health Questionnaire 
Provider List    
Privacy Notice    

Important:  Bring prescriptions and supplements with you in their original containers.
 
Physical Therapy Visit
Patient Registration Intake Form 
Medical History Form 
Privacy Notice 

Important: Bring a list of all of the medications you are currently taking.

Acupuncture Visit
New Acupuncture Patient form


Important:  Bring a list of all of the medications you are currently taking.



PLEASE NOTE:  CANCELLATION POLICY...Missed Appointments and Same Day Cancellations are subject to a $35 Fee
Alternative Therapy
5801 Braden Run, Bradenton, FL 34202,
phone: 941-727-1500, fax: 941-727-1509
contact us: info@myalternativetherapy.net
W naszej klinice mówimy także po Polsku
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