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ALLIANCE THERAPY & CHIROPRACTIC
  • Home
    • Our Team
    • Success Stories
  • Services
    • Chiropractic
    • Post Covid
    • OAMIP
    • Women's Health
    • Self- Pay Packages
    • Spinal Care
    • Aquatic Therapy
    • Orthopedic Therapy
    • Sports Rehab
    • Occupational Therapy
    • Functional Dry Needling
    • Vestibular Rehabilitation
    • FCE/Work Testing
    • Home Health Physical Therapy
  • Locations
    • Contact
  • Patient Info
  • F.A.Q.
  • Employment
  • Blog

Patient Forms


Patient Information
​

Please take some time to check your outpatient physical therapy benefits. You will be responsible for any deductibles, co-pays, coinsurance and any other services considered non-covered by your plan. All new patients or new injuries need to complete the following paperwork
  • Patient Registration Form
  • HIPAA Notice Privacy Policy
  • Telehealth Consent

Patient Payment Portal


Portal Information
​

If you are a patient please call the office and provide your email address to access your patient portal to view statements and make payments. Once that is completed please click on the link and register today!
  • https://patientportal.advancedmd.com/153371/account/logon ​
​
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© COPYRIGHT 2015. ALL RIGHTS RESERVED.
  • Home
    • Our Team
    • Success Stories
  • Services
    • Chiropractic
    • Post Covid
    • OAMIP
    • Women's Health
    • Self- Pay Packages
    • Spinal Care
    • Aquatic Therapy
    • Orthopedic Therapy
    • Sports Rehab
    • Occupational Therapy
    • Functional Dry Needling
    • Vestibular Rehabilitation
    • FCE/Work Testing
    • Home Health Physical Therapy
  • Locations
    • Contact
  • Patient Info
  • F.A.Q.
  • Employment
  • Blog