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Privacy is very important to us. No information sent to Intensive Therapeutics will in any way be distributed or shared without your acknowledgement and consent.
Instructions to complete registration forms:
- Complete the Contact, Registration, and Medical information below and submit.
- Complete and sign the following two (2) consent forms:
Informed Consent for Therapy Programs Form
Video/Photo Release Form
- Consent forms can either be uploaded at the end of this form, mailed to:
Intensive Therapeutics, Inc.
31 Fairfield Avenue
West Caldwell, NJ 07006
emailed to: email@example.com
*Forms must be completed, signed, and received at least one month prior to program start.