NEW PATIENT FORMS

Intake Form

In order to maximize your time with the physical therapist, we suggest that you download and print the appropriate forms before your appointment and bring them with you to your session.

Thank you for filling out these 2 forms in advance of your session.

We are a MEDICARE Provider.  Medicare beneficiaries  will have no out of pocket expense for our services.

 

 

 

 

Liability Waiver & Informed Consent

 

 

 

 

New Patient Intake Form

Referrals from your physician can be faxed to us:

Fax 833-847-1778

Physical Therapy, Pilates Private Sessions and Group Exercise

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Physical Therapy

Find out more about our hands-on customized and unique approach to physical therapy...

Pilates Sessions

Learn Pilates from a physical therapist & nationally certified Pilates teacher with 20 years experience as a teacher trainer...

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Group Classes

We offer individual and low cost group Bone Building classes. Read more about our Osteoporosis program...

© 2020 TheraPilates® Physical Therapy & Dr. Sherri Betz

609 Auburn Avenue Monroe, LA 71201

Tel: 318-450-1747

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