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Request an Appointment

Fill out this form to begin the process of creating your first appointment. We will call to schedule the appointment after inputting your information into our system.

Date of Birth
Month
Day
Year
Do you have a prescription for PT by a doctor?
Insurance Type
Are you the policyholder?
What is your preferred date and time for the first appointment?
Month
Day
Year
Time
HoursMinutes
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THE CLINIC

Address:

3125 Blue Lake Drive,

Vestavia, AL 35243

 

CONTACT

Phone: (205) 969-7887

 

Fax: (205) 969-7886 

 

Email: info@myagilept.com

HOURS

Mon - Thurs: 7:30am - 5:00pm 

 

Fri: 8am -3:00pm

 

​​Sat: Closed ​

Sun: Closed

PRIVACY POLICY

View our full privacy policy here.

Consumer information is not shared with third-parties for marketing purposes we collect this information to communicate directly with our clients about their information.

© 2007 by Agile Physical Therapy

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