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Please print these forms and bring them to your Initial Appointment.  If you have any questions please call us or leave the section blank and we will answer your questions at the time of your appointment.   If you are above the age of 18 please use the Adult Patient Information form.  If the patient is a minor (under the age of 18) a parent or guardian must fill out the Minor Patient Information form.

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“Back to Work - Back to Sport - Back to Life”

Serving the Skagit Valley since 1991

300 E. College Way, Ste B

P.O. Box 1789

Mount Vernon, WA 98273

Evergreen Physical Therapy

Phone: 360-428-6677

Fax: 360-428-7635

 

E-mail: joshua@evergreenptmv.com for business related questions, please direct your therapy questions to jay@evergreenptmv.com or your PT/PTA.

Patient Information - Adult

Patient Information - Minor

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