You can print and complete the NEW PATIENT INTAKE PACKET at home. Click the pencil icon to view and print this information in a PDF file format. Please bring the completed forms with you to your first appointment to save you from having to fill them out in the office. Remember to bring your insurance card (s) and your doctor's prescription / referral.
NEW PATIENT INTAKE FORMS
All patients, please click on the pencil to print out your intake forms. All forms should be fully completed and brought with you to your initial appointment.
MEDICARE RECIPIENT FORM
Only Medicare recipients need to complete this form including the above New Patient Intake Forms.
MEDICAL INFORMATION RELEASE FORM
if you would like us to send your confidential medical information to another provider, HIPAA regulations require you to complete this Medical Release / Disclosure Form.
LIST OF PARTICIPATING INSURANCES
Insurance networks in which we currently participate.
NOTICE OF PRIVACY PRACTICES
You can read or print out a complete copy of Notice of Privacy Practices detailing recent changes to the HIPAA Privacy, Security and Breach Notification Rules.
PRESCRIPTION FOR THERAPY SERVICES
Doctor's offices can download our Prescription for Therapy Services form. Please fax to our office at (561) 745-0833.
Occupational and Physical Therapists who specialize in Vestibular Rehabilitation treat people who have issues with dizziness, vertigo and imbalance. They treat people with BPPV, Meniere's Disease, Acoustic Neuroma. Pre and post surgery. Imbalance. Falls Prevention.