Physician/Healthcare Provider's Medical Clearance and Referral for Therapy Form:
https://imc.abmp.com/files/Medical_Clearance_and_Referral_for_Therapy_Form_Revision_07_19_2023.pdf
Providers/Clients please click the link above to access this form and when completed
by the physician, please e-mail it to our office (matt@imcclt.com) prior to your first appointment.