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Proactive Physical Therapy
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Patient Forms

If you prefer to save time, download, print and fill in the information before your visit.


Patient Information Form


Patient History Form


Patient Consent Form


Privacy Practices Form

Proactive Physical Therapy, PC

  • Address
    339 Route 202 – Building 2
    Somers, NY 10589
  • Email
    proactivept@optonline.net

Bill Minnich MS, PT

Proactive Physical Therapy, PC

  • Phone
    (914) 617-8211
  • Fax
    (914) 617-8213

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