| Homer Glen |
| 14301 Golden Oak Drive Homer Glen, IL 60491 |
| (708) 645 - 7700 |
| Joliet |
| 903 129th Infantry Dr. Suite 500 Joliet, IL 60435 |
| (815) 483 - 2440 |
Patient Forms
The following documents require the Adobe Acrobat Reader to view. If you do not have the reader, you may download it here.
Consent for Care and Treatment (published Aug 2009)- HIPAA Privacy Policy (published Aug 2009)
- Privacy Agreement (published Aug 2009)
- Patient Information (published Aug 2009)
- Explanation of the Medicare Exceptions Process (published July 2010)
The new patient forms are available to complete on-line or to print and complete prior to your first visit. If you prefer to email the completed documents before your first visit, you may attach the forms in an email with "patient forms" in the subject box and send to ftr@functionaltherapy.net
Location Information
Homer Glen | |
|---|---|
| Address: | 14301 Golden Oak Drive Homer Glen, IL 60491 |
| Phone: | (708) 645 - 7700 |
| Fax: | (708) 645 - 7702 |
| Hours: | Early morning and late evening |
Joliet | |
|---|---|
| Address: | 903 129th Infantry Dr. Suite 500 Joliet, IL 60435 |
| Phone: | (815) 483 - 2440 |
| Fax: | (815) 483 - 2441 |
| Hours: | Early morning and late evening |