New Patient Forms
Thank you for choosing Lake Centre for Rehab! We look forward to working with you. For your convenience, we’re providing our patient forms below. To help expedite your first visit, please download, print and complete the applicable forms and bring them with you for your first visit. If you choose to fill out the packet in office, please arrive 30 minutes early to allow enough time to complete the forms before your scheduled appointment time.
Physical, Occupational, & Speech Therapy Forms
- New Patient Paperwork Commercial Insurance
- New Pediatric Patient Paperwork
- New Patient Paperwork - Medicare
- New Patient Paperwork - Workers Comp/MVA
- New Patient Paperwork - Self Pay
If seeking Pelvic Health Physical Therapy, please complete questionnaire below (in addition to New Patient Paperwork)
Additionally, our notices are available for review below: