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LOCATION:
215-30 HILLSIDE AVENUE QUEENS VILLAGE NY 11427 ENTRANCE BACK OF BUILDING PHONE NUMBER: 718-776-1863 929-405-0126 FAX ALL PHYSICAL THERAPY REFERRALS TO: 718-732-2161 EMAIL US @: pluslifept@gmail.com OFFICE HOURS: MONDAY 10AM TO 7PM TUESDAY appointment only WEDNESDAY 10AM TO 7PM THURSDAY CLOSED FRIDAY 10AM TO 7PM WEEKENDS CLOSED |
PATIENT INTAKE FORMS - YOU CAN PRE FILL THESE DOCUMENTS OUT
AND BRING THEM WITH YOU ON YOUR FIRST PHYSICAL THERAPY VISIT.
**THE PHYSICIAN PRESCRIPTION/ REFERRAL FORM YOU CAN HAVE YOUR DOCTOR FILL OUT OR WE CAN HAVE OUR IN-HOUSE MD GET A PHYSICAL THERAPY REFERRAL FOR YOU.
**OUR DOCTOR OF PHYSICAL THERAPY PROVIDER CAN SEE YOU FOR 30 DAYS OR 10 VISITS OF PHYSICAL THERAPY WHICHEVER COMES FIRST EVEN WITHOUT A PRESCRIPTION, BUT IT IS NECESSARY TO HAVE A PHYSICAN'S REFERRAL OR PRESCRIPTION FOR PHYSICAL THERAPY IF YOU ARE USING YOUR INSURANCE TO BE COVERED.
AND BRING THEM WITH YOU ON YOUR FIRST PHYSICAL THERAPY VISIT.
**THE PHYSICIAN PRESCRIPTION/ REFERRAL FORM YOU CAN HAVE YOUR DOCTOR FILL OUT OR WE CAN HAVE OUR IN-HOUSE MD GET A PHYSICAL THERAPY REFERRAL FOR YOU.
**OUR DOCTOR OF PHYSICAL THERAPY PROVIDER CAN SEE YOU FOR 30 DAYS OR 10 VISITS OF PHYSICAL THERAPY WHICHEVER COMES FIRST EVEN WITHOUT A PRESCRIPTION, BUT IT IS NECESSARY TO HAVE A PHYSICAN'S REFERRAL OR PRESCRIPTION FOR PHYSICAL THERAPY IF YOU ARE USING YOUR INSURANCE TO BE COVERED.
| patient_medical_history_plus_life.docx |
| physical therapy referral / prescription pad |
| plus_life_physical_therapy_consent_to_care.docx |
| new_patient_intake_forms.docx |
| hipaa_release_form_plus_life.pdf |