Lake Centre For Rehab's Patient Resources & Forms

 
 
Lake Centre For Rehab in Leesburg, Florida, wants you to have an excellent first visit experience so please download the patient forms and have them filled out prior to your first visit. You will need adobe reader to download the forms. If you believe you could benefit from one of our therapy services, download the Patient Referral Form, bring it with you when you visit your doctor to discuss your course of action!

Click to Download Patient Referral Form

Please Click to Download Forms

Patient Resources

Click on the links below for important patient information
 

Before your first visit, download the patient forms

  • On your first visit, please remember to bring the following:
    • 1. Physician or NPP (Non-Physician Provider) order for therapy.
    • 2. Bring the patient forms you filled out
    • 3. Insurance cards (primary and secondary).
    • 4. Photo ID.
    • 5. Current list of medicines and allergies.
    • 6. Recent reports that you might have, including x-rays, MRI’s, surgeries, etc.
    • 7. Loose-fitting, comfortable clothing.
    • 8. Supportive closed-toe shoes.
    • 9. Bring in any adaptive devices currently used, such as braces, canes, walkers, etc.
    • 10. Copy of home health discharge with name and phone number of home health agency if applicable.
    • 11. Notify us of implants and pacemakers (defibrillators).
Due to allergies of staff members and patients, please refrain from strong fragrances including perfumes and lotions.
 

Community Disaster Information for Our Patients

During community disasters like a hurricane, Lake Centre for Rehab has an updated website which is available 24 hours a day, 7 days per week, at www.golcr.com. We also maintain a 24 hour emergency information number at (352) 289-0372. We will provide updated information related to business plans and modified schedules as necessary.