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!

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THE CLINIC

16769 Bernardo Center Dr #21

San Diego, CA 92128

Email: info@clementpt.com

Tel: 858-675-0007

*We are located within Cooke Chiropractic, 2nd floor.

Opening Hours:

Monday - Thursday: 

8am - 1pm,

3pm - 6pm

Friday: 8am - 1pm 

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© 2020 by Clement Physical Therapy, Inc.