Downloadable Physical and Hand Therapy formsPatient Information

Thank you for choosing IRG for your rehabilitation needs.

We take great pride in making your first visit with us both comfortable and informative. We are honored to assist you in your healing process.

Please arrive to your initial evaluation 15 minutes early to ensure that all of your paperwork is completed and processed and remember to wear loose, comfortable clothing.

Please make sure to bring the following with you to this appointment:

  • Photo ID
  • Insurance card
  • Provider referral/prescription
  • The forms below (completed and signed)

For your convenience, our patient registration forms are available to print and complete in advance.  Please complete the patient registration form and select the appropriate Medical Questionnaire.  Please bring the total of (2) forms to your first office visit.

We look forward to meeting you in person!  Please contact us with any questions or concerns.

Keeping Your Appointment Is Important to Your Recovery!

Thank you for making IRG’s family of physical & hand therapy clinics your choice for services.  In order to assist you in reaching your goals, we have found that consistent attendance is the most important factor in successful rehabilitation.

It is very important for you to attend EVERY appointment in order for you to attain your functional rehab goals as quickly as possible.

Plan Ahead:

When scheduling your appointments, write it in your calendar, or create a reminder in your phone to make sure that you don’t miss your appointment.

Missed Appointments:

If you can’t make your appointment, please call the clinic as soon as you know, so that you can reschedule your visit.   We require 24 hour notice for the cancellation of a scheduled appointment.  Please keep in mind that we value our partnership and we want you to achieve your goals; thus we set aside time to care for you.  If you miss your appointment, we miss out on the opportunity to help you or someone else who may need our service.  Please consider this when making appointments.

Lateness Policy:

It is equally important that you be on time for your scheduled appointment.  You are welcome to call in advance to request an earlier or later time.  We will be happy to honor your request if other appointment times are available, however; arriving late or early changes the course of treatment for yourself and others.  In order to provide you with the best possible care, we ask that you arrive at the time of your appointment.

We look forward to working with you on your path to recovery!   

Download the Free Adobe Reader