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PATIENT FORMS
To prepare for your first visit at Align Physical Therapy & Wellness, please print the patient forms below.  
Complete the forms at your own pace and bring them with you to your first scheduled appointment. 
** Along with these forms, you should also bring 
  • A photo identification (i.e. Driver's License)
  • Your Physical Therapy prescription (if applicable)
  • Your insurance card
  • Any recent relevant diagnostic reports you may have (i.e. X-ray or MRI)
IF YOU ARE UNABLE TO PRINT OUT THE FORM, PLEASE PLAN TO ARRIVE MINUTES PRIOR TO YOUR SCHEDULED APPOINTMENT
PATIENT INFORMATION
MEDICAL HISTORY
CONSENT
COMPLETE PATIENT FORM
(Patient Information, Medical History, Consent)

THE CLINIC

CONTACT US

Thank you! We will get back to you as soon as possible.

971 Route 202n, Suite #2

Branchburg, NJ 08876

Email: puja@alignptw.com

Tel:  908-255-4040

Fax: 908-845-8649

Hours of Operation:

Mon:  9am - 5pm 

Tues:  9am - 3pm

Wed:  9am - 6pm 

Thurs: :  9am - 5pm 

Fri:  9am - 12pm

​​Sat:  By Appointment Only 

Sun:  Closed

Align Physical Therapy & Wellness

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