How To Get Started
THE EASY AND SIMPLE PROCESS

FAX
PHYSICIAN PRESCRIPTION OR ORDER STATING THE FOLLOWING:

  • EVALUATION AND TREATMENT
  • DIAGNOSIS: (Ex: Low Back Pain) or (Ex: Neck Pain) or (Ex: Stroke)
 

Please include physician name, physician phone number, and patient name and phone number.
FAX TO: (954) 341-7895



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CALL
THE REFERRAL LINE DIRECTLY: SPEAK WITH AN EXPERT.
CALL TO: (954) 341-7875

Hablamos Español, Wir Sprechen Deutsch, Nous Parlons Francais



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E-MAIL
THE REFERRAL LINE WITH INQUIRIES OR PRESCRIPTIONS.

SPEAK TO A MEDICAL PROFESSIONAL
Contact the Referral Help Line

 

 

FAX:        (954) 341-7895
PHONE:  (954) 341-7875

 

 

 

 

 

PATIENT FORMS TO FILL OUT BEFORE YOUR FIRST VISIT

It’s best to have all your paperwork done before your first visit. This will allow us to start your Evaluation and Treatment faster. It also helps us process your insurance information quicker.

Instructions:

Please click the documents below that corresponds to your situation.

  1. Print out all the forms in section, and fill out all yellow areas.
  2. Simply fax completed forms or scan and send via email to get started. You can also hand carry forms to your first visit.

TREATMENT FORMS (PLEASE SELECT APPROPIATE FORMS)
forms are provided in PDF form. simply click on the appropiate forms and then print.




NEW PATIENTS

Forms (English)

Forms (Spanish)

 

FORMER PATIENTS - DISCHARGED

Forms (English)

Forms (Spanish)




We look forward to meeting you and helping you achieve your desired results.



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