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EVALUATION
Treatment Referral Approval Form
Please print out this Treatment Referral Approval Form and have your physycial fill it out, giving us as much information about your needs and condition. Please mail or fax the form to us prior to your first appointment with us.
Non-Physician Information Form
If you are seeking treatment and / or therapy without the direction of a physician, please complete the Personal Evaluation Form. Please submit the form via mail or fax it to BTS prior to your first appointment with Body Technic Systems®, Inc.
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