Patient Informational Forms
To make your
experience with our office as convenient as possible we
provide forms that may be completed in the comfort of your
home and are available 24 hours a day! All of our
patient forms may be completed "online". Patient forms
that require a signature should then be printed to your
local printer. Those forms should then be signed and
dated and brought with you to your next visit. I am
sure that you will agree that filling out forms at your home
or office is very convenient.
This is just one more way that we can show you your
experience at The Rehabilitation Center will be second to
none!
(Most forms require Adobe PDF Reader, see below for details)
*New Patient Forms
-
Patient Information (Non-Medicare Form)* OR (Medicare Form)*
- Insurance Verification Request
- Appointment Request Form
- Prescription (To be taken to follow-up MD appointment)
- Records Request Form (From another medical practice)
- Records Release Form (From The Rehabilitation Center)
Our
goal is
to provide "Outstanding Patient
Care". Please take a moment to fill out one of our
Patient Satisfaction Surveys. In an effort to be
GREEN
our survey may be filled out "online" and submitted by
email or printed to your local printer and mailed to The
Rehabilitation Center.
(See instructions below for emailing using "online" email)
Take a look at the bottom of our home page for results of our "online" survey!
Employee Forms
The Rehabilitation Center, Inc. is always looking for dynamic
individuals who are exploring the option of working in a
"Patient First" professional environment! We offer a benefit
package including competitive pay, excellent health insurance, prescription
plan, dental,
Holiday pay, 401K with company matching, job training, continuing education
benefit, access to New Jersey Manufacturers Insurance Company,
access to a credit union, free parking, wholesale club
membership, Employee Appreciation Events plus more! Please
take a moment to fill out our job application for
consideration or give us a call at (732) 329-1181.
We are currently looking for a part time physical therapist (24 - 30 hours) at our Tinton Falls location. We are also looking for an occupational therapist full time to work between our two offices. We would also consider two part-time occupational therapists.
Volunteer Forms
The
Rehabilitation Center maintains a relationship with a
dedicated group of youth volunteer's. Most of our
volunteer's are interested in a career in Physical Therapy
or elsewhere in health care. Our volunteers not only
satisfy their requirements for college applications but we
also provide them with easy access to our therapist's and
staff and encourage them to ask questions so that they may
make the best decisions about their future.
About Adobe PDF Files:
Some of our Patient Information Forms are in .PDF format, a file that is associated with Adobe Acrobat. For help on viewing, editing, and printing Adobe PDF files, please visit Adobe's website located below: (Free Download!)
