New Patient Info/Forms

Prairie Rehabilitation is dedicated to helping our patients determine the true cause of their pain or limitation and create customized treatment programs that will allow them to get back to living full and healthy lives.

Prairie Rehabilitation is here to help you reclaim your health and live your best life! To make an appointment or learn more about our services, simply call us today at (888) 372-2629 or click here to request an appointment.

What you should expect from your first therapy visit:

  • Upon your arrival at our office, you will register with our front office staff. They will help you with the insurance process and treatment program so you can focus on having the best recovery possible.
  • Next, your therapist will meet with you for your initial evaluation. During your evaluation, they will ask questions about your medical history, current pain, or injury. Try to be as honest as you can; open communication helps us understand your problem better!
  • Your movement, strength, coordination, and much more will be evaluated during your appointment. Our purpose is to help you, so please ensure you communicate to your therapist if anything is hurting or bothering you during the examination!
  • The therapist will recommend and prepare a customized course of treatment interventions to ensure the quickest recovery and the best results. Some treatments will be performed on the first day to get you started on your road to recovery. However, during the next visit, you will get into the full swing of your treatment plan.
  • After your therapist is finished, you will schedule your series of visits with the front desk. The amount of therapy needed will be discussed with you, depending on the recommendations of our therapist.
  • Depending upon your circumstance your physical therapist, occupational therapist or speech therapist will write up their findings and treatment plan to submit to your referring physician or another medical professional who you choose.

We offer many convenient appointment times, however, prime times can become busy, so it is best to book ahead as much as possible.

If you have any questions at any time, please don’t hesitate to call. We want to ensure your satisfaction and full recovery.

Preparing for your first therapy appointment

  • It’s a good idea to make a list of questions that you have to discuss on your first visit.
  • List out signs and symptoms that can be of importance to the therapist. What has been hurting or bothering you? For how long?
  • Have in writing key past medical history, previous treatments, current medications, and other important information.
  • Please call our office at (888) 372-2629 to verify your insurance benefits beforehand.
  • Bring a copy of your insurance card and a photo ID with you.
  • Please arrive 20 minutes early for your first appointment.

Want to save time?

Be sure to fill out your new patient forms prior to your appointment

If you would like to save time on your first visit, please print the following patient documents below, fill them out, and bring them with you to your first appointment.

1New Patient Intake Forms

New Patient Intake Forms

2PRIVACY POLICY STATEMENT Read Only

PRIVACY POLICY STATEMENT Read Only

3ALS Questionnaire

ALS Questionnaire

4Lymphedema Questionnaire

Lymphedema Questionnaire

5Mens Health Questionnaire

Mens Health Questionnaire

6Womens Health Questionnaire

Womens Health Questionnaire

7Attendance Policy

Attendance Policy

8Medical Release Authorization

Medical Release Authorization

Don’t have time to print them off beforehand? Not a problem.

Arrive early to allow for extra time before your appointment to fill them out in our clinic.

At Prairie Rehabilitation, we are here to help you get the most out of your visit – contact us today!

Your Next Steps…

  1. Request An Appointment

  2. Receive A Custom Treatment Plan

  3. Work Hard and Progress In Your Recovery

  4. Recover & Enjoy Life Pain-Free!

YOU CAN ACHIEVE YOUR HEALTH GOALS! GET STARTED TODAY!