Patient Forms
Please fill out and bring the following forms to your appointment:
Pain Questionnaire (choose symptom below)
Recovering from an injury or overcoming a chronic health condition can be a difficult process. That’s why Baptist Rehabilitation is here to walk you through each step of your recovery, helping you learn skills to improve your quality of life and once again participate in the many activities you enjoy.
Information for referring physicians and providers
We want to help you through every stage of recovery and provide care that alleviates pain, restores function, promotes safety and improves your overall health. Our rehabilitation team includes:
Many of our therapists also have advanced training in orthopedics, neurology, oncology, strength and conditioning, vestibular/balance, and lymphedema management.
Choosing Baptist Rehab means you have access to cohesive care across other disciplines, language interpreting services, and access to medical tests performed at any Baptist facility.
Information for referring physicians and providers
Please fill out and bring the following forms to your appointment:
Pain Questionnaire (choose symptom below)
Call: 904.202.4200
Fax: 904.202.3332
Click: Submit a referral via Epic or EpicCare Link
Providers can use EpicCare Link to securely access patient records, manage referrals and orders and stay informed about their patients’ care.
For cardiac referrals, please include the following:
- Name and DOB
- Type or Therapy (Pulmonary, ORS, Cardiac, PAD)
- Signature, Diagnosis and Notes
- Pulmonary Function Test Results (Pulmonary Rehab Only)