Marketing Request Form

Check all that apply.

If you are a clinician, please include your credentials! ex: PT, DPT, OCS

Please provide everything that should be on your business cards, including full name AND credentials (ex: PT, DPT, OCS). Please make sure all spellings and credentials are correct before submitting! To submit more than one individual's order, press the (+) to the right.

We will ship to this address unless otherwise noted.

You will receive 1 item for each day worked. Aide and PSC clothing is ordered on the 1st & 15th of each month. Please allow 3-4 weeks for delivery. To enter more than one individual's order, press the (+) to the right.

All clinicians who work events should have a PTS branded blue Under Armour polo. Polos are not to be worn in the clinics per PT Solutions dress code policies. To enter more than one individual's order, press the (+) to the right. If you have questions about event clothing, please reach out to marketing@ptsolutions.com.