Mary Cox Physical Therapy

  • Home
  • About
    • More about Mary Cox
    • What is Manual PT?
    • FAQs
  • Forms / First Visit
    • Make an Appointment
    • FAQs
  • Conditions Treated
    • What are Adhesions?
    • Chronic Pelvic Pain
  • Testimonials
  • Blog
  • Contact
Make an appointment hero

Make an Appointment

New patient appointments who have already had a phone consultation

If you are a new patient and have already have spoken with me by phone, please fill in the form below by clicking on the red button. You will be taken to a secure HIPAA compliant form. Please enter your information and submit it when you are done. (Please note, you have 90 minutes to complete the form or it will time out and you will have to start over.)

Once I have reviewed the form, I will get back to you with some open dates for your in-office visit.

Medical History Form

If I have not spoken with you yet, and you would like to schedule a free phone consultation, please visit my "Your First Visit" page for instructions.

Existing Patient Appointment Request Form

PLEASE NOTE: This is not a secure form, Do not enter any sensitive medical information. This form is for existing patients only who prefer making appointments this way. However, I still prefer patients to call me direct to set appointments. (949) 226-9681.
    This form is only for existing patients. If you are a new patient, please fill out the short questionnaire form first.
  • Briefly describe in a general way why you need to see me. If you are in pain and need to make an appointment as soon as possible, please detail that information here as well.
  • What day(s) and or times during the week are best for you? Do you need to see me right away or can this wait a week or two?

Helpful Resource Links

Pelvic Health
  • On Pelvic Pain
  • Pelvic Pain Support Group
  • On Coccyx Pain
  • On Endometriosis
  • On Adhesions

For Men
  • On Men's Pelvic Pain
  • Men's Pelvic Pain Support Group
  • On Chronic Prostatitis

Legal Information

  • Forms HIPAA Compliance
  • Terms of Use Agreement
  • General Privacy Policy

Contact Information

24352 Acaso #1
Laguna Hills CA 92656
Tel: (949) 226-9681
Fax: (949) 220-7819
Coxpt@icloud.com

Search our website

Map to Our Location

24352 Acaso #1, Laguna Hills CA 92656

Click to open a larger map

© 2023 · MARY COX PHYSICAL THERAPY · Website Design by Real Time Web Marketing