Please click on the links below to download documents and fill the out prior to your first visit.Patient Registration & Billing Information
Patient History Form
Health Information Privacy Notice & Acknowledgement
Please click on the links below to download documents and fill the out prior to your first visit.Patient Registration & Billing Information
Patient History Form
Health Information Privacy Notice & Acknowledgement
Alliant Physical Therapy Group // 1300 South Green Bay Road Racine, WI 53406 // P: 262-898-3930 // F: 262-898-3933
Burlington . Green Bay . Hales Corners . Kenosha . Kenosha South . Milwaukee 35th & Wells . Milwaukee North Avenue
Milwaukee NW . Muskego . New Berlin . Oak Creek . Paddock Lake . Racine . Racine Downtown . Shorewood . Union Grove
