No referral required Seventeen clinics across Alabama Most insurances accepted
First visit within 24-48 hours
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Patient Forms

Download and complete your Elite Rehab Solutions patient forms before your first visit to save time at the clinic.

New patients

For your convenience, we’ve provided our patients’ forms on our website. To help expedite your first visit, please download, print and complete the forms. Bring them with you when you come in for your first visit. If you choose to fill out the patient form packet at our office, please arrive 10-15 minutes before your appointment to allow enough time to get them completed before your appointment. Our forms are PDF files. In order to download and print them, you’ll need the free Adobe Acrobat Reader program.

Patient Form Packet

If you are a new patient, please fill out the new patient paperwork along with the paperwork corresponding to the area you will be having treated.

Download the packet

By treatment area

Returning patients

Returning patients please fill out the paperwork for the area you will be having treated.

Neck

InitialPDF formFollow UpPDF form

Lower Back

InitialPDF formFollow UpPDF form

Upper Extremity

InitialPDF formFollow UpPDF form

Lower Extremity

InitialPDF formFollow UpPDF form

Dizziness

InitialPDF formFollow UpPDF form

Balance

InitialPDF formFollow UpPDF form

Ready to move without pain?

We are available to see you for your first visit within 24-48 hours. Find the clinic nearest you and book your appointment.

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