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Chester Community Clinic

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Physical Therapy

Occupational Therapy

Psychology

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Individualized One-On-One Care

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Licensed Physical Therapist Supervision

Intake Forms

Upon scheduling your first session, print and complete the below forms to reduce wait time.

  1. Client Intake Form
  2. Client Health History Form
  3. Authorization to Release Healthcare Information
  4. Rights & Responsibilities
  5. HIPAA

Next Step...

Take the next step in achieving your goals today!  Contact us to schedule your session!

Contact Us!

Chester Community Clinic

  • Email
    chestercommunitypt@gmail.com
  • Phone
    (610) 499-4585
  • Fax
    (610) 499-4594
  • Address
    1720 Melrose Ave.
    Chester, PA 19013

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Copyright © 2012 Chester Community Clinic. "Chester Community Clinic", "Chester Community Health Clinic", "Chester Community Physical Therapy Clinic", "Pro Bono Network", "Pro Bono National Honor Society", The Widener University Logo are trademarks of Widener University and may not be reproduced without the express written consent of Widener University.
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