Premier Physical Therapy-Lakes Region

 

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Click on the icons below to print out the forms to bring to your first visit.  

Please fill them out completely and bring them, along with a valid photo ID (such as a driver's license) and insurance cards (as appropriate), to your first visit.  If you do not wish to print out the forms ahead of time, you should arrive a few minutes before your appointment to allow time to complete the paper work at the clinic.
 


Document
Patient data sheet
Document
Medical Screening Form
316 Portland Road, Suite 203, Bridgton, ME  04009  Tel: (207) 647-2727  Fax: (207) 647-2734

Our Affiliate:
Gray Physical Therapy  6 Turnpike Acres Rd, Ste 2, Gray, ME  04039  Tel: (207) 657-5600 
 

Comprehensive Care for Optimal Outcomes and Recovery