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Patients are welcomed to e-mail completed forms to the appropriate front desk. |
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To enusre timely receipt of communications, please do not use e-mail addresses for cancelling or rescheduling appointments. Please use front desk e-mail addresses for new patient paperwork only. |
Clayton Physical Therapy & Wellness Frontdesk - frontdesk@ptwellness.org
Knightdale Physical Therapy & Wellness Frontdesk - kfrontdesk@ptwellness.org
Intake Paperwork
- Cancellation Policy - (PDF) or (Word)
- Release and Assignment of Benefits with Privacy - (PDF) or (Word)
- Patient Health Questionnaire - (PDF) or (Word)
- Patient Intake Form - (PDF) or (Word)
- Notice of Privacy Practice - (PDF) or (Word)
