Forms
New Patients
Thank you and welcome to our Therapy Clinics, we appreciate your business! We believe it’s our responsibility to make your visit go as smoothly as possible, please read and follow these tips:
Arrive approximately 15 minutes before your scheduled appointment time, so we can ensure your paperwork is completed and copy your insurance cards. We recently implemented an EMR (electronic medical records) management system. As we make this move away from paper forms, we ask that you contact the clinic to create an account for access to your new patient portal, where you will have the ability to complete your registration process before arriving for your appointment. Remember, wear comfortable clothes and tennis shoes.
Things To Bring:
MRI and/or X-ray Reports
List of medications
Insurance Card
Any relevant/required referrals
Co-payment required by insurance plan
Patient Information
Tiffin Mercy Rehab Forms
Canal Winchester Clinic Forms
P.T. Services Rehabilitation has implemented a new EMR (Electronic Medical Records) management system in our clinics to improve patient care. We are excited to offer our patients this new, easy-to-use system with safe access to their personal health records. As we make this move away from paper forms, we ask that you contact the clinic to create an account for access to your new patient portal, where you will have the ability to complete your registration process before arriving for your appointment.
Carey Clinic Forms
P.T. Services Rehabilitation has implemented a new EMR (Electronic Medical Records) management system in our clinics to improve patient care. We are excited to offer our patients this new, easy-to-use system with safe access to their personal health records. As we make this move away from paper forms, we ask that you contact the clinic to create an account for access to your new patient portal, where you will have the ability to complete your registration process before arriving for your appointment.
Fremont Clinic Forms
P.T. Services Rehabilitation has implemented a new EMR (Electronic Medical Records) management system in our clinics to improve patient care. We are excited to offer our patients this new, easy-to-use system with safe access to their personal health records. As we make this move away from paper forms, we ask that you contact the clinic to create an account for access to your new patient portal, where you will have the ability to complete your registration process before arriving for your appointment.
Genoa Clinic Forms
P.T. Services Rehabilitation has implemented a new EMR (Electronic Medical Records) management system in our clinics to improve patient care. We are excited to offer our patients this new, easy-to-use system with safe access to their personal health records. As we make this move away from paper forms, we ask that you contact the clinic to create an account for access to your new patient portal, where you will have the ability to complete your registration process before arriving for your appointment.
Minster Clinic Forms
P.T. Services Rehabilitation has implemented a new EMR (Electronic Medical Records) management system in our clinics to improve patient care. We are excited to offer our patients this new, easy-to-use system with safe access to their personal health records. As we make this move away from paper forms, we ask that you contact the clinic to create an account for access to your new patient portal, where you will have the ability to complete your registration process before arriving for your appointment.
St. Henry Clinic Forms
P.T. Services Rehabilitation has implemented a new EMR (Electronic Medical Records) management system in our clinics to improve patient care. We are excited to offer our patients this new, easy-to-use system with safe access to their personal health records. As we make this move away from paper forms, we ask that you contact the clinic to create an account for access to your new patient portal, where you will have the ability to complete your registration process before arriving for your appointment.
Ottawa Clinic Forms
P.T. Services Rehabilitation has implemented a new EMR (Electronic Medical Records) management system in our clinics to improve patient care. We are excited to offer our patients this new, easy-to-use system with safe access to their personal health records. As we make this move away from paper forms, we ask that you contact the clinic to create an account for access to your new patient portal, where you will have the ability to complete your registration process before arriving for your appointment.
Wellington Clinic Forms
P.T. Services Rehabilitation has implemented a new EMR (Electronic Medical Records) management system in our clinics to improve patient care. We are excited to offer our patients this new, easy-to-use system with safe access to their personal health records. As we make this move away from paper forms, we ask that you contact the clinic to create an account for access to your new patient portal, where you will have the ability to complete your registration process before arriving for your appointment.
General Forms