Physical Therapy Clinic Appointment | Northland Community & Technical College

Book your free physical therapy session at our East Grand Forks Campus clinic. Fill out the form below to request an appointment.

New Patient Scheduling Intake Form

Phone

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Patient Information

Full Name(Required)

First Last

Sex

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Female

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Email Address(Required)

Phone Number

PTA Clinic Appointment Text Reminders (Opt‑In)

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Address(Required)

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Referral Source

Who referred you to our clinic?(Required)

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Schedule Appointment

New Patient Scheduling Intake Form

Patient Information

Referral Source