Call us: 248-539-8781

INTAKE FORMS

HIPAA ACKNOWLEDGEMENT CONSENT FORM

HIPAA-ACKNOWLEDGEMENT-CONSENT-FORM.pdf

PATIENT INTAKE FORMS

PATIENT-INTAKE-FORMS.pdf

INFORMED CONSENT FOR COVID-19

HIPAA-ACKNOWLEDGEMENT-CONSENT-FORM.pdf
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Miracle Physical Therapy and Massage Center - Warren
3272 E. 12 Mile Rd. #106
Warren, MI 48092
Phone : 586-920-2596
Fax : 586-576-7298

Miracle Physical Therapy and Massage Center - Farmington Hills
30500 Northwestern Hwy. Ste. 316C
Farmington Hills, MI 48334
Phone : 248-539-8781
Fax : 248-539-8940

Developed By: Grinblat Meida, LLC

Miracle Physical Therapy and Massage Center Inc.

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