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PATIENT FORMS

For your convenience, we've provided our patients forms on our website. To help expedite your first visit, please download, print and complete the forms. Bring them with you when you come in for your first visit. If you choose to fill out the patient form packet at our office, please arrive 10-15 minutes before your appointment to allow enough time to get them completed before your appointment.

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Our forms are PDF files. Please double click the Red PDF Icon below to open the form. To download and print the forms, you'll need the free Adobe Acrobat Reader program.

BRIGHAM CITY & DUCHESNE CLINIC

Life Elevated Physical Therapy (Brigham)

750 W 1075 S, Suite E

Brigham City, UT 84302​​

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Life Elevated Physical Therapy (Duchesne)

179 East Main Street

Duchesne, UT 84021​

Tel: 435-230-1062

LifeElevatedTherapy@gmail.com

Fax: 435-919-0907

© 2025 by LEPT

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