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Charlotte's Pelvic Floor PT & Orthopedic Specialists
Call Us: 704-377-0020
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About Us
Services
Women’s Health
Men’s Health
Pre and Post-partum Physical Therapy
Incontinence / Rectal & GI Dysfunction
Sexual Dysfunction
Specialized Orthopedics
TMJ
Location and More
Patient Forms
Get In Touch
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Home
About Us
Services
Menu Toggle
Women’s Health
Men’s Health
Pre and Post-partum Physical Therapy
Incontinence / Rectal & GI Dysfunction
Sexual Dysfunction
Specialized Orthopedics
TMJ
Location and More
Patient Forms
Get In Touch
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Patient Forms
Patient Medical History
Please print and complete the Patient Medical History Form and bring it with you to your first visit.
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Insurance Guidelines
Please review the following Insurance Guidelines Form for information regarding insurance reimbursement.
Download Form