Columbia PT & Healthworks Chiro

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Patient Intake Form

Welcome to our online Patient Intake Form. The information you fill in will be sent directly to our office for Columbia Physical Therapy and Healthworks Chiropractic, speeding up your office visit and allowing us to better serve your healthcare needs.On your first visit please provide your picture ID,your Dr. Referral and your Insurance Claim Information. We look forward to seeing you.

Who are you?

Let's get started. Fill out the fields below to speed up your office visit.