Patient Resources & Forms
Admissions
- Penn Medicine Rehabilitation
- Specialty Hospital at Rittenhouse
- Getting Ready for your Stay: Penn Medicine Rehabilitation
Patient Bill of Rights
Privacy Information
- HIPAA Notice of Privacy Practice: Penn Medicine Rehabilitation
- HIPAA Notice of Privacy Practices: Good Shepherd Penn Partners
- Health Information Exchanges
Request for Medical Records
- Contact Carolina Perez at [email protected] or 610-776-3285
Your Rights and Protections Against Surprise Medical Bills
COVID-19
Charity Care
Outpatient Rehabilitation New Patient Forms
In order to make better use of your time at Penn Therapy & Fitness, we have provided you with registration forms to be printed and completed prior to arriving at your first appointment. The forms below enable us to learn about your condition and how it affects your daily life, understand your overall health, track the effectiveness of your rehabilitation and accurately bill your insurance. Click the links below to download the appropriate form.
For more information or to request an appointment at one of our more than 20 outpatient locations, please call 877-969-7342.
New Patient Welcome Packets
- Arcadia
- Bala Cynwyd
- Bryn Mawr
- Cherry Hill
- Conshohocken
- East Windsor
- Jenkintown
- Lansdale
- Levittown
- Media
- Mercerville
- Mount Laurel
- New Britain
- Pennsylvania Hospital
- Plymouth Meeting
- Radnor
- Rittenhouse
- Spruce
- University City
- Valley Forge
- Voorhees
- Weightman Hall
- West Norriton
- Woodbury Heights
- Yardley
Thank you in advance for your cooperation and for trusting us with your care or the care of a family member.