Consent for Treatment

Patient History Form 2

 

Email completed paperwork to:

patients@backinactiontherapy.com

1011 A 10th St. Alamogordo, NM 88310     575-439-9878

 

Office Hours

Mon.-Fri.. 7:00 a.m. - 6:00 p.m., Sat. Appointments are available

 

©2015 Back in Action Therapy