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)
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.