New Patient

Welcome to Summit Rehabilitation!

For your convenience you may download and print our required New Patient forms to bring with you on your first appointment. If you have any questions as a new patient, please do not hesitate to contact any of our five convenient neighborhood locations or visit our FAQ page.

We look forward to seeing you!

General Medical History

Physical Therapy Medical History

Hand Therapy Medical History

Consent and Statement of Financial Responsibility

Authorization for Release of Patient Health Information

Notice of Privacy Practices

**Medicare Patients** please also download and print these required forms:

Current Medication Lists and Medical History