THERAPY APPOINTMENT REQUEST
 

Thank you for requesting an appointment for therapy services at a Maury Regional Health therapy center. Patients may request an appointment using the form below. Once your contact information is received, a member of our team will contact you within 1-2 business days to schedule your appointment.

Maury Regional Health offers therapy services at locations in Columbia, Chapel Hill, Hohenwald, Lewisburg, Pulaski, Spring Hill and Waynesboro. Services vary by location and include:

  • Physical Therapy
  • Occupational Therapy
  • Speech Therapy
  • Developmental Milestone Screenings
  • Hand Therapy
  • Lymphedema Therapy
  • Parkinson's Therapy
  • Pediatric Therapy
  • Pelvic Floor Physical Therapy
  • Spine Therapy
  • Sports Therapy
  • Stroke Therapy
  • Vestibular Therapy
  • Work Conditioning

Services are offered by self-referral (direct access) for those who qualify. Our staff will coordinate with your physician if a physician's order is necessary.

 

PURPOSE OF YOUR VISIT  *
First Name:  *
Middle Name:  *
Last Name:  *
Street Address:  *
City:  *
State:  *
Zip Code:  *
Email:  *
Phone:  *
Is this a cell or home phone?  *
Preferred Method of Communication:
(Initial contact will be a phone call to the number provided above. Your appointment confirmation may be sent to the preferred method you select below.) 
 *
First visit to one of our therapy centers?  *
In a few words, please describe the reason for your visit. 
Preferred Day(s): 
Preferred Time(s): 
Terms of Submission: Maury Regional Health may use your contact information in order to reach you in response to your inquiry or to share additional information that may be of interest. You also acknowledge that despite potential use of encryption software, security of this submission and the reason for the visit is not guaranteed. By selecting SUBMIT, you agree to these terms.