Freedom Physical Therapy
CONTACT PAGE
IF THIS IS A MEDICAL EMERGENCY PLEASE CALL 9-1-1 OR GO TO THE NEAREST EMERGENCY ROOM.
Please fill out the form below to request an appointment. Call us for immediate service.
Note: All fields must be completed.
Patient Last Name
*
Patient First Name
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Date of Birth
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Mobile Number
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Confirm Mobile Number
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Email
Message
Please select from the following options to let us know where your inquiry should be directed:
General
- Regarding already scheduled appointments, billing, and services
Brookfield
- 17495 W. Capitol Drive #I
Fox Point
- 6908 N Santa Monica Blvd
Grafton
- 1235 Dakota Drive
Mukwonago
- 111 Atkinson St, Suite 2
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