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Fort Lauderdale

Patient Forms

Holy Cross Rehabilitation Institute - Patient Documents

Click here for Release of Information / Transfer Medical Records form (You may fax to 954-776-3129)

Our goal is to make sure your visit goes as smoothly as possible.

Please find all the necessary paperwork below.

To open a packet, simply click on the link, download, print and COMPLETE the PDF document. Please bring the completed document with you on your first visit. Thank you.


For what condition are we seeing you?

Orthopedic condition

 

Neurological condition

 

Balance condition

 

Pelvic Health condition

 

Activities of Daily Living Difficulties

 

Other conditions not listed above

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