New Patients

We welcome you to Carolina Rehab!

We have provided a downloadable PDF file below containing your new patient paperwork. Please follow the instructions below to fill out this information and provide it to us.

  1. Click here to download the PDF file.
  2. After finished downloading, open the PDF file in a PDF Reader application. If you do not have one, you can get one here. DO NOT OPEN IN YOUR WEB BROWSER.
  3. Fill out the form information on pages 1-3.
  4. Print the file when done.
  5. Sign and date the bottom of page 1 and page 3.
  6. Bring the printed and signed document in to your appointment.


Please use the button below to view/download our Referral Form.