Welcome to the Fitness Rx Client Center

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Cancellation List

We know that sometimes there isn't an appointment available as soon as you may need.

Please click here to be added to our cancellation list and we will call you as soon as an appointment is available

Schedule your appointment

Let's get you scheduled for your first appointment and your ongoing treatment sessions.

Please click here to schedule your first appointment before filling out the new client form.


Online Forms

 

Fitness Rx offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our office.

 

New Client Intake Form

Please Submit your completed form by clicking "Submit" once complete.

Name *
Name
Cell Phone
Cell Phone
Home Phone
Home Phone
Work Phone
Work Phone
Address
Address
How did you find our office?
Name, address, phone number and relationship
Please describe how the injury, pain or discomfort orginiated
Please describe your current symptoms
Please describe any activities or times of day that improve or worsen your symptoms
Please list the names of your providers, type of care and approximate date of your last visit for any previously received care
Please list any medications, vitamins, supplements or herbs you are currently taking
I certify that I'm the patient or legal guardian listed above. I have read/understand the included information and certify it to be true and accurate to the best of my knowledge. Fitness Rx does not process insurance claims. Clients are welcome to submit for insurance reimbursement independently. Fitness Rx requires 24 hours to cancel an appointment. Appointments cancelled in less than 24 hours are subject to charge for 100% of the appointment fee.