Telehealth PT Discovery Visit
Hands On NJ Physical Therapy
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If MINOR, enter Parent/Guardian Name (will be treated as signature) *
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I, the undersigned, desire to obtain a Complimentary Discovery session for Telehealth PT. This Free Telehealth PT session is offering you an opportunity to know exactly WHAT’S GOING WRONG and it’s perfect for anyone who would like to be SHOWN how Telehealth PT works before UPGRADING to all the extra benefits included in a full consultation. I release Hands On NJ Physical Therapy and its affiliates, its Board of Directors and Officers, and its medical staff of any and all liabilities surrounding the Discovery Session. *
By entering my name in the box below, I effectively provide my signature, and understand and acknowledge the agreement and policies indicated above. *
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