Optimizing Movement. Enhancing Lives.
Proven Results.

Opening Hours : Monday - Thursday 8am - 6:30pm, Friday 8am - 1pm

  Contact : US1: 904.217.4259 Island: 904-679-3449

New Client Forms

Feel free to complete the forms prior to your initial appointment. If you have any questions, please feel free to email info@starsrehab.org or call us; south office: 904.217.4259. Island office: 904.679.3449.

If you choose to print and complete the paperwork at home, please arrive 10 minutes prior to your initial evaluation

If you choose to complete the forms in the clinic, please arrive 20 minutes prior to your initial evaluation to complete them.

Remember to bring photo identification, insurance cards and the rx from the doctor (if applicable).

 

All New Patients

Medicare Requirements

Consent

HIPPA

Intake Form

Medical History

Medicare Payer