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Kenosha
6926 39th Avenue
Kenosha WI 53142
(262) 942-0163
Fax:(262) 697-1576
baptkenoshaclinic@yahoo.com
 
Racine
1135 Prairie Drive
Racine WI 53406
(262) 886-6780
Fax: (262) 886-6710
racinebapt@yahoo.com
 
Lake Geneva
902 S. Wells Street
Lake Geneva WI 53147
(262) 249-1915
Fax: (262) 249-1397
lgbapt@yahoo.com
New Patient Forms
Please download and fill out the following form before your first appointment to help reduce your wait time. Also, please bring your doctor's referral, insurance information cards, and drivers license/ identification card. Please wear comfortable clothing.
Thank you for choosing Balistreri and Associates Physical Therapy.

Coming to see us for the first time?  Please do the following for your initial visit:

» Bring your Doctor’s referral slip
» Bring your insurance information cards
» Bring your drivers license or identification card
» Wear comfortable clothing
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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