Direct Access Physical Therapy & Pain Management Centers
Direct Access Physical Therapy &Pain Management Centers


In an effort to save you time, please review and fill out these forms at home and bring them to your first appointment.

Client Information, Insurance forms.pdf
Adobe Acrobat document [53.9 KB]
Medical History From.pdf
Adobe Acrobat document [38.7 KB]
Consent for Care and Treatment Financia[...]
Adobe Acrobat document [33.4 KB]
Acknowledgement of Receipt of Notice of [...]
Adobe Acrobat document [43.7 KB]
HIPAA Notice (2).pdf
Adobe Acrobat document [529.2 KB]

Contact Us Today!

5327 North Sheridan Road

Suite A
Chicago, Illinois 60640

5555 North Sheridan Road

Suite 24

Chicago, Illinois 60640

6352 North Lincoln Avenue

Chicago, Illinois 60659

Telephone (773) 944 0484

                  (872) 208 3095


Fax            (773) 944 0513

                  (773) 961 8346


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Direct Access Therapy, Inc.| Physical Therapy, Rehabilitation & Pain Management Clinics