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    To Schedule Call - 813.803.7070

    info@theexersciencecenter.com

    (813) 464-0313

    • Home

    • About

    • Services

      • Physical Therapy
      • Personal Training
      • Group Classes
      • Neubie
      • Elite Athlete Training
      • Holistic Wellness
      • Bodywork Therapy
      • Salt Cave
      • Infrared Saura
      • Nutrition
      • Memberships
      • Specials
      • Events & Calendar

    • Blog

    • Resources

      • Forms & Waivers
      • Make A Payment
      • Policies
      • Recommendations
      • Our Favorite Products
      • Gift Card

    • Gallery

    • Contact Us

      • Disclaimer

    • Groups

    • More...

      THE EXERSCIENCE CENTER

      Physical Therapy · Personal Training · Nutrition · Group Fitness · Yoga

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      Forms & Waivers

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      Welcome to the Team!  Your new journey starts now!!

      If you are a first-time client, please fill out the online waiver below.

       

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      Patient/Client Intake
      Membership agreememt
      SAUNA WAIVER

      PRINTABLE FORMS

      physical therapy

      Physical Therapy new client intake
      Neubie Intake form
      AUTO PIP FORM

      personal training

      Personal Training new client Intake

      group class / yoga

      group Class new client waiver

      MEMBERSHIPS

      MEMBERSHIP AGREEMENT

      individual forms & waivers

      Patient information intake form
      medical history and adl screening
      financial policy
      cancellation policy
      communication form
      Notice of privacy
      hipaa privacy practices
      Medical Liability & Release
      Photo permission form

      THE EXERSCIENCE CENTER

      24706 State Rd. 54

      Lutz, Fl. 33559

      info@theexersciencecenter.com

      (813) 803.7070

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