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Esterson & Associates Physical Therapy
A CENTER OF EXCELLENCE
Patient Information Forms
For your convenience, our Medical History Form, Medical Release Form, and Physical Therapy Prescription Form, are available to download to your computer by clicking the buttons below. You may print out the forms and complete them prior to your scheduled appointment with us. Please either fax the completed forms to us at (410) 747-5202 or bring them in when you arrive for your scheduled visit. In addition, be sure to have a signed physical therapy referral or consultation form from your referring doctor for your first visit.
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