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New Patient Welcome Series

Schedule an Appointment

Sprains, Strains, Injuries or Post-Surgeries we make getting the care you need easy.
Request an in-clinic appointment at a time that works best for you. Our Patient Experience Coordinator will use this info when they call to confirm your request.
Last Name(Required)
First Last
I am submitting this appointment request for my partner, child, parent or friend.
Email(Required)

Mobile Phone*(Required)
Your Date of Birth(Required)
MM slash DD slash YYYY

I have a Prescription / Referral from my doctor for(Required)
Physical Therapy
I do not have a prescription
Best Time to Contact/Other details:(Required)
Other than a referring doctor, how did you hear about us? *(Required)
Scheduling(Required)
Evaluation
AIM Method
Evaluation: A one hour initial assessment to create a personalized treatment plan to address the root cause of your condition and improve your quality of life. AIM Method: Cash base treatment program
SMS text communication*
I agree to receive SMS text communication regarding appointment updates from Skillz Physical Therapy. I agree to receive communication from Skillz Physical Therapy.By checking this box, I consent to receive SMS messages from SKILLZ PHYSICAL THERAPY regarding my inquiry. I understand that message and data rates may apply. Reply STOP to opt-out at any time. For Assistance Reply HELP. Message frequency may vary.
*By providing your phone number, you agree to receive text messages from Skillz Physical Therapy and its service providers for conversational purposes regarding appointment reminders. Message & data rates may apply. Message frequency varies. You may reply STOP to a text message to opt out of receiving that type of message from Skillz Physical Therapy or its service providers in the future. You may reply HELP to a text message for help. We take patient privacy seriously and do not sell your email or mobile numbers. Click https://skillzpt.com/privacy-policy/ to learn how we protect your privacy, the terms of use and how to change email/text preferences.

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New Patient Welcome Series

Schedule an Appointment

Sprains, Strains, Injuries or Post-Surgeries we make getting the care you need easy.

Quick Links

Latest Health Posts

Why Your Knee Hurts During Everyday Evanston Life

FOLLOW OUR HEALTH BLOG!