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2001 2nd Street. SW, Suite 115    
Rochester, MN 55902    
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Registration Forms  
We make it easy for you to register for care by having you complete a minimum amount of paperwork. Please complete and bring the following forms with you on your first visit.

1. Express Registration Form

2. Patient Questionnaire Form

3. Assignment of Benefits Form

4. Privacy Practice Act Form






Achieve Results Physical Therapy  -  2001 2nd Street SW, Suite 115, Rochester, MN 55902
Ph: (507) 424-0678  -  Fax: (202) 379-1738

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