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Get the free Phone number (we will text for waitlist openings)

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FOR Physical Therapy Intake Form Last Name First Name DOB Home Address Billing Address (leave blank if same) Phone number (we will text for waitlist openings) 2nd Phone number (optional) Email address
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To fill out phone number, follow these steps:
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Begin by entering the country code, which is typically a plus sign followed by the numeric code (e.g., +1 for the United States).
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Next, enter the area code, which varies depending on the location.
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After the area code, enter the local phone number, which is usually a combination of digits.
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If necessary, include any additional codes or extensions, such as an extension number or a regional or carrier code.
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