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Patient Forms

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

Holy Cross Rehabilitation Institute - Patient Documents 

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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