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CALL TODAY (601) 898-1828 MAKE AN APPOINTMENT

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    • 7712 Old Canton Rd.
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Request an Appointment

Please do not use this form if you have an urgent medical problem or you need to reschedule an existing appointment. Instead, contact our office at (601) 898-1828. After you submit your request, our appointment scheduler will respond within 48 hours. See below for forms to complete.

Patient Registration Forms

Professional Therapy Solutions in Madison, Mississippi, welcomes you to our practice. Once you have made your initial appointment, you may preregister by downloading, printing, and completing the forms below. Doing so prior to your visit will help speed up the new patient registration process.

Please be sure to bring all forms with you to your first visit, along with any diagnostic films or other test results that may have been ordered or performed by another physician.

Downloadable Forms:

  • New Patient Intake Form

 Please note:  It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.

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Patient Education

Learn more about common medical conditions related to physical therapy and pain management in our interactive online education center.

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Professional Therapy Solutions
7712 Old Canton Road, Suite A
Madison, MS 39110

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At Professional Therapy Solutions in Madison, our physical therapists specialize in outpatient physical therapy, pain management, sports injuries, myofascial release therapy, dry needling, and orthopedic rehabilitation.