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2001 2nd Street. SW, Suite 115    
Rochester, MN 55902    
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Registration Forms  

In order to save you time and to provide you the treatment you need more quickly, we have made it convenient for our patients to provide us with their required information through our simple pre-registration process.

Simply fill out the forms found below prior to your visit so that we can concentrate on providing you the care you need when you arrive and not on paperwork. Each of the forms below can be filled out online by typing in your responses or by printing the documents and handwritting your responses. Choose whichever is most convenient for you.

Please take extra care to fill out each form completely and bring these with you to your first office visit for a speedy check in.

If you have any questions, please don't hesitate to call us at 507-424-0678. We look forward to seeing you soon!


Download Patient Registration Forms here

   






Achieve Results Physical Therapy  -  2001 2nd Street SW, Suite 115, Rochester, MN 55902
Ph: (507) 424-0678  -  Fax: (202) 379-1738


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