Get in touch

Whether you have a specific question or you want to be our next patient, we’d love to hear from you. We’ve set out a straightforward form to make life easy. But if you’d like us to give you a call back, please remember to include your phone number in the message body. See you soon.

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Patient Forms

We have upgraded our intake process!

We are excited to announce that we are using a new patient portal! In our efforts to keep you and your health information safe, we have gone paperless. Our new patient portal system allows you to fill out your health information remotely.

The portal is not only mobile-friendly, but once you are a registered patient with us; our system will securely store your information should you return. This process saves you valuable time and decreases redundant requests for information every time you return to our practice. Stay tuned for more enhancements coming in 2021!

You will receive information on the patient portal directly to your email when you schedule an evaluation. This email will be sent from our Partner, Pinnacle Rehabilitation Network, and our EMR vendor, [email protected] . The subject is Pinnacle Rehabilitation Network Patient Portal Invitation.

Because we value your feedback, we have also implemented a new way of determining your overall satisfaction. The NPS (Net Promoter Score) is a nationally recognized and widely used method of measuring patient satisfaction. After your initial visit and at some points throughout your care you will receive a short satisfaction survey from us. We strive for 10/10 every time with every patient and use the information gathered from these surveys to improve care and to recognize staff.

Testimonials

We love using our clients’ testimonials in our marketing. If you are interested in providing one for us, we’d be thrilled. For a testimonial template and photo release form please contact us at [email protected] or (207) 536-0702 or download the forms here.

Medical Release Authorization Form

Any patient who wants to have their medical records released will need to fill in our Medical Release Authorization Form and provide to Alliance Physical Therapy before any records can be release. Please download the form here.

Alliance Physical Therapy LLC
331 Veranda St,
Building 6 Suite #3311,
Portland, ME 04103

Phone: 207 536 0702
Fax: 207 536 0785

E-mail:
[email protected]

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Book in now

Take control of your pain and book an appointment today. Our unique approach will not only get you back on track, it’ll also equip you with the tools you need to stay pain free, giving you the independence you crave.