Click to call 863-430-3622 Click for directions 340 W Highland Dr

CONTACT US

Downloadable intake paperworkphysical rehabilitation center paperwork icon

For your convenience, you can download the patient forms and complete them prior to your first visit. Then, bring the forms with you when you come in for your appointment. If you choose to fill out the patient form packet at our office, please arrive 10-15 minutes before your appointment to allow enough time to get them completed.

Our forms are PDF files. To download and print the forms, you’ll need the free Adobe Acrobat Reader program.

Provide us with your name, telephone number, email address and a brief description of why you are seeking treatment and we’ll contact you as soon as possible to schedule your appointment. Our commitment is to book you for an evaluation within 24-48 hours. You do not need a prescription or referral from your physician to be seen by our physical therapist.

All patient forms must be filled out with BLACK ink, please!

physical rehabilitation center location icon

340 W. Highland Dr., Lakeland, FL 33813

physical rehabilitation center phone icon

863-430-3622

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863-662-6055

FILL OUT THE FORM BELOW:





physical rehabilitation center Jennifer Rivera