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Filling Out Form

Patient Intake & Medical History Forms

To help us make the most of your first 60-minute evaluation, please complete your intake paperwork before your appointment.

Intake Forms

Important Information for Your First Visit

If it’s your FIRST VISIT please make sure to review and complete the INTAKE PACKET (see below) prior to your appointment in order to allow us to spend your full appointment time on your goals. Forms may be returned to terry@recoupPT.com or brought to the appointment with you. Please contact me directly if you have any questions or need further assistance with the intake process.

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