Patient Info / Forms

Patient Info / Forms

We are here to help you enjoy your life, pain-free! To make a convenient appointment, simply click here to request a free discovery session. Synergy Rehab & Wellness is dedicated to helping you identify the cause of your pain and creating a custom treatment program that will allow you to return to normal activities pain-free.

Want to Save Yourself 15 minutes?!

Our forms are available here for download. However, when you call us to register for your appointment in advance, you'll receive an email from our partner, Ivy Rehab, that will allow you to fill out your medical history online automatically integrating with your health record. This will save you a lot of time on your first visit and will also assure that we have the most accurate information on hand to provide you with the best care. It is a requirement of many insurances that we have an accurate medical and medication history on file, so we appreciate you taking the time to thoroughly complete these items prior to your arrival for your initial evaluation. Thanks and we look forward to meeting you and helping you get back to living life to the fullest!

Patient Forms

At Synergy Rehab & Wellness, we want to maximize your time with us. If you would like to save time on your first visit, please print the following patient documents below, fill them out, and bring them with you to your first appointment. Otherwise, allow extra time before your appointment to fill them out here.

Before Your First Visit

  • Make a list of questions that you have to discuss on your first visit.
  • List signs and symptoms that can be of importance to the therapist.
  • Have in writing key past medical history, previous treatments, current medications, and other important information.
  • Please call our office to verify your insurance benefits.
  • Arrive 15 minutes early for your first appointment.
  • Bring with you a copy of your insurance card and a photo ID.

What to Expect on Your First Visit

  • You will register with our friendly front office staff. They will help you navigate the insurance process and treatment program so you can focus on your recovery.
  • You will meet with our physical therapist for the initial evaluation.
  • During the evaluation, your therapist will ask questions about your medical history, current pain, or injury. Open communication helps us understand your problem.
  • Your movement, strength, coordination, and much more will be evaluated. Our purpose is to help you, so please ensure you communicate to your therapist if anything is hurting or bothering you during the examination.
  • Your therapist will recommend and prepare a course of treatments to ensure the quickest recovery and the best results. Your therapist will discuss the recommendations with you.
  • There will be some treatments performed the first day to get you started on your road to recovery. However, during the next visit you will get into the full swing of your treatment plan.
  • You will schedule your series of visits with the front desk. The amount of therapy needed will be discussed with you, depending on the recommendations of your therapist. We offer many convenient appointment times, however, prime times can become busy, so it is best to book ahead as much as possible.
  • Your therapist will write up their findings and treatment plan to submit to your referring physician or another medical professional who you choose.
  • If you have any questions at any time, please don’t hesitate to call. We want to ensure your satisfaction and full recovery.

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