Peak Rehab Home » Patient Forms

HELP MAKE YOUR VISIT TO PEAK REHAB MORE EFFICIENT.  DOWNLOAD THESE PATIENT FORMS, FILL THEM OUT AND BRING THE FORMS WITH YOU TO YOUR NEXT OFFICE VISIT.

To help make your visit as efficient as possible and to help Peak Rehab prepare and provide the best patient care, we have made our patient forms available on our website.

Please do the following:

  1.  Download the patient forms below. 
  2.  Print the forms on your home printer
  3.  Complete the forms  
  4.  Bring the completed forms when you come in for your first visit.

 

If you download and complete the patient forms from our website, PLEASE ARRIVE 15-20 MINUTES early, as your insurance may require additional paperwork.  If you choose not to download and complete this paperwork, PLEASE ARRIVE 30 MINUTES early to allow enough time to complete the forms before your appointment.

In addition to your paperwork please bring  the following:

       1) Order from physician
      2) Drivers license or other photo ID
      3) Insurance card(s)

INSTRUCTIONS FOR PRINTING THE FORMS:

1) Please click on the image(s) below
2) After it opens, choose “File” than “Print” from your browser menu at the top of your screen
3) Choose your printer and print
4) Click the “back or left” arrow to return to the website