Carleen Lindsey, PT, MScAH, GCS
Carleen Lindsey, PT, MScAH, GCS, CEEAA

Ann Murillo-Morrissey, PT
Ann Murillo, PT,
Certified Yoga Instructor

Deborah Combs
Deborah Combs, LMT

 

 

What you need for your first visit:

What you need for your first visit:

Please download, print, fill out (USE PEN FOR # 1-4), and bring in with you:

  1. Patient registration form (pages 1&2)
  2. HIPPA patient privacy form
  3. Cancellation/no show policy/ Financial policy
  4. Medicare Patient Questionnaire (for original Medicare as well as supplemental policies)
  5. If you have any of the conditions below, download, print, USE A PENCIL (NOT a pen). fill out and bring the form that applies:  (Do not worry about scoring - just answer according to how you feel over the past day or two)


Serving Central Connecticut - Conveniently located at:
400 Middle St (Rt 229 in the Gym building), Bristol, CT 06010

FOR APPOINTMENT CALL 860-589-0444
Open Monday - Thursday 9a.m. to 6p.m. For your PT Product Patient Needs
www.BristolPhysicalTherapy.com

Call for an
Appointment
860-589-0444

New at BPT!

Click here for details...

Patient Forms:

Click here before your first visit!

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Bristol Physical Therapy
400 Middle St.
Bristol, CT 06010
Phone: 860-589-0444
Fax: 860-314-1588

 

 

 

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