Registration Forms - Evans Rehabilitation & Wellness - Evans, GA

Registration Forms

Click the button below to download your patient forms, so you can print them out and complete them before you come in for your first visit.

Patient and Client Forms

Click here to download your patient forms
Click here to download your motor vehicle accident forms
Click here to download your workers' compensation forms

Physician Referral

Click here to download the physician referral form
If interested in physical therapy contact your doctor for a prescription. Appointments may be required to obtain a prescription. TRICARE prime patients will require a TRICARE authorization from their primary care physician.

Membership & Training Forms