Intake Form

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» Intake Form :

FYZICAL East Palatka looks forward to having you join our host of satisfied clients. Without you there can be no triumph. Because physical therapy without the client is intent without involvement. However inspired, it is like rain without water, only a hope. Because you Love Your Life, your independence, your day…we exist.

We look forward to welcoming you to our state-of-the-art facility and providing you the best physical therapy. If you would like to schedule an appointment please call us at (386) 385-3598.

Insurances Accepted

FYZICAL East Palatka accepts most major insurances including but not limited to: 
Medicare, AARP, Aetna, Cigna, BlueCross BlueShield, Bardavon, ChampVA, United Health care, Align Networks, Medrisk, Onsite Physio, Tricare, Railroad Medicare,  Humana, Workers compensation plans, and self-pay. 

Please call our office for assistance with any insurance questions. Our trained staff will be happy to verify your insurance benefits, and work with you to accommodate your individual needs. We offer affordable payment options for self-pay patients.

Once you have made your initial appointment, you may download and print the forms, fill them out and bring them with you to your first visit. Completing the forms prior to your visit will help speed up the registration process.


Downloadable Forms:

New Patient Paperwork