Brefeld Physical Therapy Services P.C.

106 Lincoln Place Ct.​

Belleville, IL  62221

618-236-7588 (Phone)  

618-236-7589 (Fax)

frontdesk@brefeldtherapy.com



​Dear New Patient,

Please help us to serve you better by completing your new patient information forms, located below, and bring your filled out forms to your first appointment. Please also bring your medical insurance card(s) and a current script from your referring doctor. If you have any questions please call our office.


We look forward to seeing you!



Sincerely,

Brefeld Physical Therapy Services