Prior to your first visit with Prairie Rehabilitation please complete the fillable and downloadable forms listed below. These can be downloaded and submitted electronically prior to your first visit through our secure website. Other options for submission include fax, mail or turn in at the time of appointment. For a complete New Patient Forms packet please click the downloadable PDF on the right hand side of the screen. Separate fillable forms are located at the bottom of the page. If you would like assistance in filling out your New Patient Forms please call one of our outpatient clinics listed under the locations tab..

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Please download, read and sign the following forms to submit prior or bring with you at the time of your appointment.