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TO BOOK AN APPOINTMENT

The easiest way to schedule an appointment is to download the referral form (click PDF) and return it to us via E-MAIL OR FAX. Please Complete the PDF referral form and return to us at: 

E-MAIL:      info@CIBalance.com 

FAX:      (401) 619-7766

Click the PDF icon to download REFERRAL Form

CONTACT US

If you are unable to download the referral form you may email us here. Please note this may result in a longer wait to be scheduled. 

Referred For:
Format of therapy

FORM SUBMITTED!

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