Carolina Rehabilitation inc

The links below provide you with our functional capacity forms. Please choose the one that best fits your situation.

Patient Forms

The links below will provide you with our new patient forms along with our privacy practice forms (HIPPA). Please print them out and complete them before you come in for your first visit.

​What should I bring with me to my first visit?

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Please bring the following to your first visit and arrive 15 minutes early (if you do not have completed paperwork we ask that you arrive 30 minutes early so you will have time to finish it before your appointment):

• Completed Paperwork 
  
• A copy of your list of medications
  
• Insurance Card(s)
  
• Picture ID​​
  
• Referral / Prescription
  
• Wear loose fitting & easily removable clothing
  
• Please wear shorts if we are seeing you for lower extremity (knee, hip, etc.)
  

If your injuries are from an auto accident we will need you to  bring a copy of the police report, copy of your vehicle registration, your auto insurance policy or claim #, the other party’s auto insurance claim #, and attorney information if applicable.