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New Patient Documentation

Prior to your initial evaluation, we ask that you kindly fill out our new patient packet. Click the image above the "New Patient Registration Forms" to download the packet. If you have had an MRI or X-Ray, please have your physician fax the reports to us prior to your first visit.

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New Patient Registration Forms

The following documents are

Stewart Scharfman Physical Therapy's:

  • Demographics Form

  • Patient Medication and Health History Form

  • HIPAA Disclosure Form

  • Insurance Assignment of Benefits Form

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