Intake Form
» Intake Form :

FYZICAL Wauchula 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.

Once you have made your initial appointment, you may pre-register online by completing the interactive form below, or you may download and print the form, fill them out and bring them with you to your first visit. Completing the form prior to your visit will help speed up the registration process.


Downloadable form:

Patient Registration Form