Tel (419) 841-9622
Fax (419) 843-8288

3130 Central Park West Drive, Suite A
Toledo, Ohio 43617
(6500 block of Central Ave.) Map

Online Forms

Below is our online library of patient forms. Please download the forms, fill them out, print and either fax to us or bring them with you.

Patient Registration Form

Insurance Form

Intake Questionnaire

 

Forms require Adobe pdf reader. Download a free reader here.

© 2002 - Physical rehabilitation center based in Toledo, Ohio providing hands-on care to help clients get back to full function quickly and safely. Working as a team, therapists, rehab aides and administrative staff play a valuable role in the quality of care we provide. Our treatments include physical therapy, aquatic therapy, physical rehab, medical fitness, aquatic exercise, low back pain treatement, fibromyalgia treatement, incontinence treatment, arthritis treatment and knee pain treatment.XHTML CSS