Patient Info / Forms

Welcome to Optimal Home Rehab!

We at Optimal Home Rehab are dedicated to determining the source of your discomfort and providing a treatment plan that will allow you to return to living a full, happy, and healthy life.

To request an appointment, please call us at 267-225-7775 or click here to request an appointment or learn more about our services.

Before your First Visit

• Please complete new patient intake forms.
• Be ready at your appointed time.
• Please have a photo ID and insurance card(s).
• Any medical or hospital forms that may be applicable to your current condition.
• Please call our office at 267-225-7775 to verify your insurance benefits beforehand.
• Dress comfortably for exercise.

What To Expect From Your First Therapy Appointment

Your Initial Evaluation and What It Means

• Your first session with your therapist is called an initial evaluation. During this session, your therapist will spend one-on-one time with you to learn about your condition, your previous level of function, and how your current condition is affecting your everyday life. After collecting your subjective report, your therapist will take specific measurements of the impairments that may be contributing to your problem. By combining your subjective report with our objective measures, we will develop a personalized treatment plan. At this point, you can expect education from your therapist on your diagnosis and prognosis with therapy. Your treatment plan will consist of hands-on therapy and evidence-based interventions to address your functional deficits. However, you will also be instructed and given resources for a home exercise plan that will be part and parcel to obtaining optimal outcomes in your treatment plan.

Fill Out These Forms Beforehand To Save Some Time!

Please print the patient forms below, fill them out, and have them with you at your appointment if you want to save time at our first visit:

• 1

  Electronic Intake Form

  Fill The Form
• 2

  Financial Policy

  Download & Print
• 3

  Patient Auth – Consent form

  Download & Print
• 4

  PT Testimonial Release Form

  Download & Print
• 5

  HIPAA consent Form

  Download & Print
• 6

  Client Welcome Letter- patient signature required

  Download & Print
• 7

  Patient Demographic Information

  Download & Print
• 8

  Wellness Consent Form

  Download & Print

If you don’t have time to print them off beforehand, it’s not a problem! Allow extra time before your appointment to complete the forms.

At Optimal Home Rehab, we are here to help you make the most of your visit, whatever that means to you – contact us today!