Fort Myers Office

6150 Diamond Centre Court, Bldg.100

Fort Myers, FL 33912

Off Metro Parkway near Gulf Coast Hospital.

Phone: 239-768-6396

Port Charlotte Office

3380 Tamiami Trail, Unit 3

Port Charlotte, FL 33952

Phone: 941-467-1666

Naples Office

5668 Strand Court

Naples, FL 34110

Phone: 239-687-2165

Clermont Office

821 Oakley Seaver Drive

Clermont, FL 34711

Phone: 407-614-5900

Lady Lake Office

733 County Road 466

Lady Lake, FL 32159

Phone: 352-775-3339

Sun City Center Office

137 S. Pebble Beach Blvd, Unit 204

Sun City Center, FL 33573

Phone: 813-530-2799

Clearwater Office

600 Lakeview Rd., Suite B/C

Clearwater, FL 33776

Phone: 727-232-9599

Winter Park Office

1573 W. Fairbanks, Suite 200

Winter Park, FL 32789

Phone: 407-637-8300

Online Forms | Back and Neck

Physicians Rehabilitation, now offers our patient form(s) online. To save time on your first visit or to fill out the forms in the convenience of your home or office, simply download the necessary form(s) below, print it out and fill in the required information.

INTAKE FORM, ALL PATIENTS