In his 1856 journal, the great American philosopher and naturalist Henry David Thoreau wrote, "I love the winter, with its imprisonment and its cold, for it compels the prisoner to try new fields ...View Article
You are using an outdated browser. Please upgrade your browser to improve your experience.
Naperville Rehab Clinic offers our patient form(s) online so they can be completed it in the convenience of your own home or office.
Worker's Comp Patients
United Health Care Patients
Some UHC policies require authorization from OptumHealth, please fill out the OptumHealth Patient Summary Form along with other form(s) according to any/all pain you are experiencing. Don't forget the forms above for Cash & Health insurance patients.
OptimumHealth Patient Summary Form
If you are not sure if your policy requires authorization, please contact our office.
This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!