NEW PATIENT FORMS

At The Summit Health & Rehab Outpatient Clinic, we know your time is important, so as a first-time patient, we have made things easier for you by offering our new patient forms online. Please print out these forms (on white paper only), complete them, and bring them with you to your appointment. By offering you the option to print the forms out in advance, you will be able to complete them at your own pace and in the comfort of your own home.

Authorization Form

Outpatient Information Sheet Summit – Patient Info Sheet

Policy for Late Appointment – Cancellation

Privacy Notice