Patient Information

Patient Bill of Rights & Understanding Patient Info - Information explaining your rights as a patients as well as your rights under the Federal Privacy Standard (HIPPA)

Admit Paperwork

Information necessary to maintain contact  and medical record info. Please be sure to fill out paperwork completely and bring to evaluation along with insurance card, drivers license and a list of any current medications.

A minor must be accompanied by a parent or guardian at their first visit.

  

Medical Records Requests forms 

Medical records request form to

release records to Key Rehab 

This form is needed to allow a copy of a patients medical records to be released to or discussed with Key Rehab

Adult medical records request form

This form is needed to request a copy of medical records to be released to the patient or for the patient to release the records to someone else.

Pediatric medical records request form

This form is needed for a parent/guardian to request a copy of medical records to be released to them or for the parent/guardian to release the records to someone else.

2018 Handwriting Camp Form