First Name: *
Last Name: *
Address: *
Phone Number: *
E-mail:
New Patient
Existing Patient
Select a Therapist:
Select a Therapist
Marty Huegel, PT, MEd
Paula Bruce, PT, CCE
Kelly Ann Fiorello, MPT, CCE
Jeff Gilliam, MHS, PT
Carol A. Huegel, PT, NDT
Deborah Morgan, MPT
Virgie K. Shirah, PT, CLT
Charleen Stubbington, MPT, ATC
Kimberly Thomas, PT
Patricia Nichols, MA, OT, CHT
No Preference
Select a Location:
Select a Location
Main Center • Gainesville, FL
Thornebrook • Gainesville, FL
Alachua • Alachua, FL
Tioga • Newberry, FL
Type of Appointment:
Follow Up
New Patient (Describe problem)
Desired Day/Date:
mm/dd/yyyy
Desired Time:
* = Input is required