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INTAKE FORMS

Below you will find intake forms that can be filled in prior to your first appointment. Please download and complete the "Intake Forms", and e-mail back to info@clementpt.com after you have scheduled your appointment. We will then print the forms and the signature fields can be signed on your first visit in the clinic. The notice of privacy practices should be read prior to signing the acknowledgement form. Thank you!

THE CLINIC

16766 Bernardo Center Dr #112

San Diego, CA 92128

Email: info@clementpt.com

Tel: 858-675-0007

*We are located within Cooke Chiropractic, 1st floor.

Opening Hours:

Monday - Thursday: 

8am - 1pm,

3pm - 6pm 

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CONTACT

Thanks for submitting. We'll be contacting you!

© 2021 by Clement Physical Therapy, Inc. 

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