New Patients using Insurance or Workers' Compensation

In order to expedite your first visit with us, feel free to view and fill out the following forms prior to your visit.
(Just make sure you remember to bring them in with you!)
If you have any questions, call Patti at 861-0111 or email patti.smith@rehabgym.com

In addition to these forms, please remember to bring the following:

Your insurance card
Comfortable clothing for exercise and to allow for easy access to affected area(s)
Clean shoes (to be mindful that some people perform exercises on the floor)

Please READ this before filling out the new patient forms

Uses and Disclosures of Health Information

Please PRINT the following forms to fill out and bring in for your first visit

New Patient Agreement

New Patient Health Questionnaire

New clients coming in for a consult (not using insurance)

In order to expedite your first visit with us, feel free to view and fill out the following forms prior to your visit.
(Just make sure you remember to bring them in with you!)

In addition to these forms, please remember to bring the following:

Comfortable clothing for exercise and to allow for easy access to affected area(s)
Clean shoes (to be mindful that some people perform exercises on the floor)

Please PRINT the following forms to fill out and bring in for your first visit

Consult Health History Form

Consult Informed Consent Form

Membership Sign-Up Form

Class Participants

To prepare for your first class at the RehabGYM, please print and fill out the following forms listed under the class you wish to take.

Senior Exercise Class

Senior Health Fitness Form

Waiver of Liability for Gym Use

Employment

Application for Employment