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".   

Physician Visit
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 


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 $50 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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