Patient Forms

HOW TO

Get Started

Thank you for your interest in Total Rehab. Please use the forms below to get started.

np_doctor_1790200_000000

Physician Referral​

Therapy services can require a physician’s referral. If you would like to come to Total Rehab print the referral form and take to your doctor. 

np_form_2202859_AC1E2D

New Patient Forms​

Save time in our office by completing the new patient registration forms prior to your first visit.

np_form_2202859_AC1E2D

Formularios para pacientes nuevos

Ahorre tiempo en nuestra oficina completando los formularios de pacientes nuevos antes de su primera visita.