Patient Intake Form

PRIVACY STATEMENT
Please note that no personal information from this form will be stored on our website database. All information is securely directed and saved in our clinic’s Electronic Medical Record (EMR) system where all data is encrypted. The patient information will only be used by the clinic and will not be passed on to any third party.

Click here for Notice Of Privacy Practices

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LAVA PHYSICAL THERAPY

811 William Hilton Pkwy
Hilton Head Island, SC 29928
(843) 842-3222

LAVA PHYSICAL THERAPY

2 Greenwood Dr. Suite B
Hilton Head Island, SC 29928
(843) 842-3222

LAVA PHYSICAL THERAPY

25 Hospital Commons Blvd., Suite 105
Hilton Head Island, SC 29928
(843) 842-3222