Contact - Ability Rehabilitation

Contact Us

Florida is a direct access state and does not require physician’s referral for evaluation and treatment by a physical therapist.

If you would like to contact Ability Rehabilitation or schedule an appointment request, please complete the following form or use the contact information provided.

Contact Us

Florida is a direct access state and does not require physician’s referral for evaluation and treatment by a physical therapist. Click here to learn more.

If you would like to contact Ability Rehabilitation or schedule an appointment request, please complete the following form or use the contact information provided.

Contact Us / Request an Appointment

Name*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone
Contact Reason*
Comments
Request an Appointment
Fill in the information below to request your appointment date and time. Please note: your appointment is not confirmed until a representative from Ability Rehabilitation contacts you to confirm all appointment details.
This appointment is for a:*
- New Patient
- Returning Patient
Would you like this appointment to be in-person or via telemedicine?*
Office
Select the office you would like to be seen at.
Desired Appointment Date
MM slash DD slash YYYY

Note: Selecting a date/time on this form does not guarantee your appointment will be at your requested time. We will do our best to accommodate you and contact you directly with our closest matching appointment times.
Desired Appointment Time

: Hours

Minutes

AM/PM

Note: Selecting a date/time on this form does not guarantee your appointment will be at your requested time. We will do our best to accommodate you and contact you directly with our closest matching appointment times.
Describe Your Reason for an Appointment*
Security
Phone
This field is for validation purposes and should be left unchanged.

This form permits one appointment request per submission. Please submit a single form per appointment requested. If you are a current patient, please use our patient portal or call your provider for non-appointment service requests. Remember to provide a valid phone number so a team associate can follow up via phone to verify your appointment and collect any additional information.

Note: should be used for non-urgent appointments only. If you need immediate assistance, contact your provider’s office right away. The information provided will remain confidential and will not be allocated in your medical record. Information provided will only be used by our administrative staff to service you with scheduling your appointment. We request you allow up to 24 hours or one business day for us to contact you.

Corporate Office

1200 Lexington Green Lane,
Sanford, FL 32771

Phone: 407-688-0070
Fax: 407-688-0071