Call Us: 205-518-6421

Fall Injury Prevention and Rehabilitation Center

NEW PATIENTS

Thank you for choosing the Fall Injury Prevention and Rehabilitation Center.  We look forward to serving you with exceptional care.  For your convenience, you may complete new patient forms in advance. Please select and print the new patient packet below.  Fill all forms out completely and bring them with you to your appointment.  If you are not able to complete the forms before your visit, please arrive at least 30 minutes early for completion of patient paperwork in the office before you see the doctor. 

Please bring the following items with you to your appointment:

  • Current Medications - Please bring all medications you are currently taking to your appointment
  • Personal Identification Needed - Be sure to have your valid driver license
  • Insurance card(s) – Please bring your current insurance card


New Patient Packet 

Download our patient form packet. Fill this prior to your visit and it will save you time in your visit and limit your waiting for appointment.
 

The Notice of Privacy Practicesis available for download for the patient to keep.



Payments can be made in the form of cash or credit card. We accept MasterCard, Visa, Discover, American Express, Diners Club International, and JCB.



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