Omega Rehab’s Physical Therapy Admission Forms.
Please download the following forms and fill them out before your first visit, and bring them in with you.
- Medicare Payor Questionnaire
- Health History OPT
- Outpatient Consent for Admission and Treatment
- Social Worker Form
- Attendance Policy
5 Physical Therapy & Rehab Clinics in Michigan:
- Rochester Hills: 130 Hampton Circle, Suite 150, Rochester Hills MI. 48307
- Roseville: 25509 Kelly Rd, Suite B, Roseville MI. 48066
- Hazel Park: 23411 John Rd, Hazel Park MI. 48030
- Dearborn: Prime Rehabilitation – 4953 Schafer Rd, Dearborn MI. 48126
- Sterling Heights: 2567 Metro Parkway Suite 101, Sterling Heights, MI 48310
- Serving all of Oakland, Macomb and Wayne Counties.
Call Today! 855-843-7279