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  • About Me
  • My Services
    • What is Neurility?
    • Diagnoses & Conditions
    • Evaluations & Treatments
  • For Patients
    • FAQ
    • Intake Forms
  • Contact Me
  • COVID-19

Intake Forms

Please click the links below to download documents prior to your evaluation:

HIPPA Notice of Privacy Practices 

Patient Acknowledgement of Receipt of Notices

Terms of Service and Direct Access Disclosure

Direct Access Disclosure signature

Form NTC 12-01

Christy’s Contact Information

Dr. Christy MacDonell, PT, DPT, NCS

(408) 513-5566

christy.macdonell@neurilitypt.com

Send me a message now!

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    • About Me
    • My Services
      • What is Neurility?
      • Diagnoses & Conditions
      • Evaluations & Treatments
    • For Patients
      • FAQ
      • Intake Forms
    • Contact Me
    • COVID-19
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