New patient forms - ALTERNATIVE, PHYSICAL THERAPY, BRADENTON, SARASOTA, FLORIDA

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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

Patient Registration Intake Form

Medical History Form

Mental Health Questionnaire

Provider List

Privacy Notice

Appointment Policy

Important: Bring prescriptions and supplements with you in their original containers.

Physical Therapy Visit

Patient Registration Intake Form

Medical History Form

Privacy Notice

Appointment Policy

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

Acupuncture Visit

New Acupuncture Patient form

Appointment Policy

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 $50 Fee

Alternative Therapy
5801 Braden Run, Bradenton, FL 34202,
phone: 941-727-1500, fax: 941-727-1509
contact us: info@myalternativetherapy.net

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