Harrison gym discount

Patients: print this page and have your doctor (Dr. Anna Kahn, Dr. Shaun Kahn, Dr. Mike Marvel) to validate that you are still under an active care plan with our office. Your 24 hour access passes will be made at the Fitness club during regular staff hours: 9:00 to 5:00 to begin your workouts. Fitness Club phone # 741-3676, manager: Freda


Rehabilitation Patient Pass

Patient Name___________________________________________

Doctor_________________________________________________

Condition_______________________________________________

Pass:BOGO(buy one get one 1/2) regular $40.total cost $60.00

one month half price (regular $40).......total Pt. cost $20.00

Pass Purchased 1 month 2 month (BOGO)

auth_________________Date_________

To renew, RTC to clinic by ______________