Ginger Fitness and Rehabilitation, Inc
Ginger Fitness and Rehabilitation, Inc
                   We Are Special Because We Care
Exercises on
   

Consultations throughout the state
Call 813-631-9700

Temple Terrace, Central-East Tampa, Brandon
5035 E. Busch Blvd., Ste 7 Tampa, FL 33617

Lakeland Plant City Clinic
1701 South Alexander Street, Suite 111, Plant City, FL 33566

Davis Island Clinic
5 Tampa General Circle, Suite 200, Harbourside Medical Tower, Tampa FL 33606

Westchase,South Tampa, Carrollwood, Town&Country
8455 West Linebaugh Ave Tampa, FL 33625

New Tampa-Wesley Chapel Clinic
27553 Cashford Circle
Wesley Chapel,
FL 33544


Trinity/ New Port Richey
8726 Old County Road 54,
New Port Richey,
FL 34653

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Prescription Form

  • Private pay or Insurance? Call us for a free consultation: 813-631-9700
  • Click here to Download Patient Prescription Form. Print out and bring to your physician, ask him/her to sign for your Therapy asap.
  • Fill out the physician's info below and we'll request for you.
Your Name: First   Last (*)
Email: (*)
Date of Birth:
 
   
Insurance info:
Private Pay?  Yes     No
Name of Insurance company:
Policy number:
Group number:
Provider phone number:
HMO plan?  Yes    No
Have a Secondary insurance info?  Yes    No
Secondary Name of Insurance company:
Secondary Policy number:
Secondary Group number:
Secondary Provider phone number:
   
Physician Name: First   Last
Practice Name:
Address 1:
Address 2:
Address 3:
What problems are you seeking treatment for?
Any particular staff there whom we should ask for?
Any special message from you to the physician's office?
Any special message to us?

(*)

Decide, take charge of your better health today!

Thank you for visiting Ginger, Have a Harmonious and Healthy Year!
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