Forms

NEW PATIENTS

If you are a new patient and would like to fill out your paperwork in advance, please click on the appropriate link below for your new patient packet. Please complete these forms and bring to your appointment along with your insurance card(s).

Child Paperwork (17 and under)

Adult Paperwork (18+ years)

Release of Information
If you would like for PAR to be able to communicate with other providers or persons
regarding your care, please complete one release for each individual.

Release of Information
Release of information to the PCP.

Testing Frequently Asked Questions & Answers

Our HIPAA policy for your reference.

Patient Rights

Referral Form
If you would like make a referral to PAR Rehab Services for testing, therapy, and/or
psychiatry services, please complete this form and fax to 517-887-9826.

Referral Status Request Form

Please be sure to complete the form fully to expedite the referral process.
Referrals that are missing essential information such as insurance information, patient contact information, requested service,
or reason for referral may be delayed until we receive missing information.