Forms

Attention Patients!

Some forms MUST BE READ & SIGNED 24 HOURS BEFORE YOUR VISIT to have your treatment covered!

New or returning patients to the Harrisburg office, please print, read, and sign these forms 24 hours prior to your appointment.

New patients being seen at the Harrisburg Office:

• New patient forms (300kb pdf)
  

Returning patients being seen at the Harrisburg Office:

• Returning patient forms (135kb pdf)

For patients being seen at Mechanicsburg:

• For questions about procedures scheduled at HealthSouth, call: 717.691.3731