Request a Physical Therapy Appointment

- Patients

Request an Appointment

Sprains, Strains, or Injuries, we make getting the care you need easy.

Request an in-clinic or virtual appointment at a time that works best for you. Our Patient Experience Coordinator will use this info when they call to confirm your request.

Click here to learn how we protect your privacy.

First Name *

Last Name *

I am submitting this appointment request for my partner, child, parent or friend.

Email *

Mobile Phone *

Your Date of Birth *

State *

ZIP Code (Enter 5 digit ZIP) *

Clinic Location *

I have a prescription from my doctor for: * Physical Therapy Occupational/Hand Therapy I do not have a prescription

Please list your doctor’s name

Best Time to Contact/Other details: *

Other than a referring doctor, how did you hear about us? *

Please specify the name of the individual, event, organization or group *

Email and SMS text communication*

I agree to receive email and SMS text communication regarding appointment updates from Athletico Physical Therapy.

I agree to receive email marketing communication from Athletico Physical Therapy.

*By providing your phone number, you agree to receive text messages from Athletico and its service providers. Message & data rates may apply. Message frequency varies. You may reply STOP to a text message to opt out of receiving that type of message from Athletico or its service providers in the future. You may reply HELP to a text message for help. We take patient privacy seriously and do not sell your email or mobile numbers. Click here to learn how we protect your privacy, the terms of use and how to change email/text preferences.

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