Patient Forms

For Patients

Patient Forms

Patient Survey

Schedule an Appointment

New Patient Forms

Thank you for choosing RI Rehab Physical Therapy! 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 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.

New Patients

New Patient Information Form
New Patient Medical History
New Patient Informed Consent
New Patient Privacy Acknowledgment Form

Our Promise to You

We encourage patient independence and self-management using preventative education, lifestyle modification and wellness strategies. RI Rehab is serious about bringing value to each and every treatment, and being a part of your solution for long term health and wellness.

(877) RI-Rehab