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BELMONT Center FOR PHYSICAL MEDICINECONSENT FORM Version: \” Consent 2015\” (Rev. Sep.2017)564 Belmont Ave. W., Suite 301, Kitchener, ON N2M 5N6 / Tel. (519) 7434355 Fax (519) 7436787SOS Physiotherapy Kimberly
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Belmont Centre for Physical is a facility that provides physical therapy services.
The owner or operator of Belmont Centre for Physical is required to file the necessary forms.
The forms for Belmont Centre for Physical can be filled out online or in person at the facility.
The purpose of Belmont Centre for Physical is to provide physical therapy services to patients.
Information such as patient demographics, treatment plans, and progress notes must be reported on Belmont Centre for Physical forms.
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