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

CALL THE REFERRAL LINE DIRECTLY: SPEAK WITH AN EXPERT. CALL TO: (954) 341-7875 Hablamos Español, Wir Sprechen Deutsch, Nous Parlons Francais

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.

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.