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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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