Patient Forms

Contact us

Outpatient Rehabilitation Services/Ballard

Outpatient Rehabilitation Services/Cherry Hill

Outpatient Rehabilitation Services/Edmonds

Outpatient Rehabilitation Services/First Hill

Outpatient Rehabilitation Services/Issaquah

Outpatient Rehabilitation Services/Mill Creek

Outpatient Rehabilitation Services/Redmond

Outpatient Rehabilitation Services/Renton

Outpatient Rehabilitation Services/West Seattle

See all

Patient Forms

Please complete and bring this form with you to your appointment:

Please review the following forms prior to your appointment:

  • Notice of Health Information Practices 
  • Conditions of Admission 
    • You will sign this form when you check in for your visit to consent for us to provide our services. We are unable to make alterations to the content of this form

Additional information