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Action Physical Therapy
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Serving Salinas, California ~ Call Us at (831) 758-5338
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Patient Forms


Patient Intake Form


Downloads



Title Size
PDF Acknowledgement of Receipt of Notice of Privacy Practices 89.07 KB
PDF Patient Agreement Form 90.86 KB
PDF Medical History Questionnaire 25.64 KB
PDF Patient Satisfaction Survey 107.13 KB
PDF Private Insurance Notice 54.67 KB
PDF Patient Agreement Form (Spanish) 91.68 KB
 
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What our customers say...

“I wanted to let you know how much I enjoyed my experience while attending sessions at ACTION Physical Therapy. I was having trouble getting dizzy and not being too steady when walking. My doctor sent me to ACTION and Aimee completely cleared up the dizziness and with the other exercises I am walking better every day. The ladies who worked with me were very helpful, polite and caring. I enjoyed my sessions so much and would recommend ACTION to anyone.” - L. Garlinger

 
 
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Action Physical Therapy
680 East Romie Lane, Salinas, CA 93901
Tel: (831) 758-5338   Fax: (831) 758-5385
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