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?
Pelvic Health condition
Activities of Daily Living Difficulties
Other conditions not listed above
- Medical History form (English)
- Medical History form (Spanish)
- Release of Information / Transfer Medical Records form (You may fax to 954-776-3129)