Become a patient in three easy steps

  1. Fill out and send in a patient intake form listed below.
  2. Wait for a phone call to schedule an appointment.
  3. Arrive on time and with a smile on your face!

Get in touch


phone: 586.580.3929
fax: 586.580.3785

2338 Auburn Rd.
Shelby Township, MI 48317


Patient intake form

If you would like to patient with us, fill out the form below and one of our staff members will get back to you.

Patient Intake Form for JC Physical Therapy