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.

 

Esterson & Associates Physical Therapy

Two West Rolling Crossroads
Suite 100-102
Baltimore, MD 21228
Phone  (410) 747-1600
Fax       (410) 747-5202
E-mail  Info@EstersonTherapy.com

HOURS OF OPERATION

 

Monday -  Thursday        8:00 am - 8:00 pm

Friday                                 8:00 am - 4:00 pm
Saturday                           Closed
Sunday                              Closed

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© 2015 Esterson PT