Long Island: 1999 Marcus Ave, Lake Success [map]

Queens: 69-61 Grand Avenue, Maspeth [map]

Phone: (516) 488-8808

Fax: (516) 488-8818

Serving Senior Citizens in Long Island & Queens since 2003

Patient Forms

These forms can be downloaded from our website for the convenience of our patients. Please print these forms and fill them out completely. Bring them with you and give them to our front office when you arrive for your physical therapy evaluation.

These forms can be brought to the office or you may fax them to our office prior to your evaluation at 516-488-8818.

Assignment Of Benefits

Pre-Exam Questionnaire

First Contact Form



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