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Request appointment

We will call you to schedule an appointment. Tell us the best time to reach you and what type of therapy you need.

Preferred callback time

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Select the best time for us to call you back within 48 hours (weekdays only).

Therapy type

Select a therapy type.

This may be found on your order or enter your own.

More than one therapy type needed

Patient details

To receive a call back from Banner Physical Therapy, please provide the patient's information and contact details.

Patient first name

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Patient last name

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Phone number

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Email address

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We will make every effort to contact you as soon as possible, during your preferred callback time. Please allow up to 48 hours during peak times.

We will collect patient insurance information on the call.

Request summary

S. Mill Ave & W. Ellis Dr.

5002 S. Mill Ave., Ste. 105 Tempe, AZ 85282

Open now: 7am-6pm

(602) 512-8607

Preferred callback time

Therapy type

More than one therapy type needed

Patient details