Partners in Physical Therapy
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Check In for Your Appointment
Welcome, please complete the form to check in.
First and Last Name
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Has Your Insurance Changed?
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Yes, please see the front desk
No
New Patient
Describe your CURRENT status?
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Phase 1: Pain or Other Problems are SIGNIFICANT
Phase 2: Pain or Problems are IMPROVING
Phase 3: Pain or Problems are ALMOST GONE
I Do Not Know
Are you satisfied with your care?
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Yes, I am VERY satisfied
New Patient/ 1st treat
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Check In for Your Appointment
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