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Patient Intake Forms

At Total Activation Physical Therapy, we want to make therapy easy, convenient and time efficient. Please choose the form that most reflects your situation. Download it, print it, fill it out and bring it with you to your first appointment. If there are fields that you are not sure about, leave them blank and our staff will help you when you arrive. Welcome to Total Activation!

All Major Insurance

Medicare

No Fault

Workers Compensation

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