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Patient Forms

All forms are .pdf

Please fill out all documents and return to us at referrals@centralfltherapy.com

Attendance Policy.pdf
Consent for Evaluation.pdf
Credit_card_information_on_file.pdf
Information_intake.pdf
Office_agreements.pdf
OT Developmental intake.pdf
Photo permission
Release form.pdf

Insurance card

Please attach a copy of your medical insurance card and driver's license.  

Send to referrals@centralfltherapy.com

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Beyond Therapy

14055 Town Loop Boulevard, Suites 200 and 300, Orlando, Florida 32837, United States

(407)-857-6285 FAX: (407)-857-9566

Copyright © 2022 Beyond therapy - All Rights Reserved.

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