Save time and effort by filling out the three forms below before you arrive at Therapy Specialists. Simply click on each link, then print them out on your home printer and bring them with you to your first visit.
If this is a motor vehicle accident or personal injury case, you need to complete the forms labeled Personal Injury Policy and Personal Injury Information.
- Motor Vechicle Accident / Personal Injury Policy
- Motor Vechicle Accident / Personal Injury Information
Good Faith Estimate document for uninsured and self-paying patients
Please print out the following form, sign and either fax the copy to (216)360-8768 or take a picture with your smart phone and email the image to firstname.lastname@example.org.