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".

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

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

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