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    /Referral Form

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Physician’s Prescription/Referral Form

 

We Appreciate Your Patronage

Thank you for making an appointment for medical restorative massage therapy at the M.T. Wellness Clinic. We enjoy serving you and we are pleased to be a member of your health care team.

 

 

 

 

 

 

 

Physician’s Prescription / Referral Form

Click here to download the form PDF.

 

 

 

 

 

 

 

 

 

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Contact Us




1151 Bethel Rd. Suite 302
Columbus, OH 43220

P: 614.273.0810
F: 614.273.0173

Monday - Thursday 9a - 8p
Friday 9a - 5p
Saturday 9a - 3p