Dowloadable Physical and Hand Therapy forms
Patient Information
Thank you for choosing Integrated Rehabilitation Group for your rehabilitation needs.

We take great pride in making your first visit with us both comfortable and informative. We are honored to be assisting 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)
In the event that you are unable to attend this or any future appointments we kindly ask for a minimum of 24 hours notice. We look forward to meeting you in person! Please contact us with any questions or concerns you have. For your convenience, our patient registration forms are available for printing. Please complete the first 3 forms and select the appropriate Medical Questionnaire. Please bring the 4 forms to your first office visit
Secure Payment LinkPatient Registration
Secure Payment LinkFinancial Policy
Secure Payment LinkAcknowledgement of Receipt (HIPAA)
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Secure Payment LinkMedical Questionnaire - Physical Therapy
Secure Payment LinkMedical Questionnaire - Hand Therapy
Secure Payment LinkPediatric Development History Form (for Pediatric Patients only)
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