New Patient Paperwork
Patient Information (.pdf)
Health Insurance Billing Policy (.pdf)
Protecting Your Privacy
Real Rehab will make every effort to respect and protect your Personal Health Information (PHI) in accordance with the latest Health Information Portability and Accountability Act (HIPAA). The document below describes the policies and procedures we use to protect your personal health information and your rights with respect to your personal health information.
The HIPAA Notice of Privacy Practices (.pdf)
Exercise Metabolic Rate (VO2 Test)
Specialty Services Questionnaire (.pdf)
AMT General Questionnaire (.pdf)
Client Instruction Sheet EMR Assessment (.pdf)
Informed Consent for an EMR Assessment (.pdf)
PAR-Q (.pdf)
Physical Activity Assessment (.pdf)
Resting Metabolic Rate
Specialty Services Questionnaire(.pdf)
Client Instruction Sheet for an RMR Assessment (.pdf)
Informed Consent for an RMR Assessment (.pdf)
Cyclist’s Clinic
Specialty Services Questionnaire (.pdf)
Release of Liability and Consent for Bicycle Fitting (.pdf)
Runner’s Clinic
Specialty Services Questionnaire (.pdf)