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(928) 589-1172
450 W. Goodwin Street, Suite 102A, Prescott, AZ 86303

Permar Physical Therapy

(928) 589-1172

450 W. Goodwin Street, Suite 102A, Prescott, AZ 86303

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Patient Forms

Download the forms below to save time in the office!

New Patient History Intake Form

Payment, Cancellation & No Show Policy

Medicare Beneficiary Consent  (This form only needs to be filled out if your primary insurance is through medicare and you are being seen for fitness, wellness, or prevention goals)