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Temporarily, you may get an error code upon submission. You do not need to resubmit.  If you have not heard from us within 24 hours, please call 704-351-8162.  

Patient Intake Form

Please complete and submit the form below. We will contact you within 24 hours via phone or email to schedule your appointment with us.  Thank you for choosing Total Core PT!

Questions?

Please contact us if you have any questions. Visit our contact Us section located at the bottom of the Home page. We'd love to hear from you.

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