Patient Forms

Neuro Rehab Collaborative Release of Information

Neuro Rehab Collaborative encompasses three LLCs: Valley PM&R, Neuro Outlook, and Function First OT. Due to healthcare regulations, each LLC must have separate consent forms for sharing patient records. To streamline the process and minimize the number of forms our patients need to complete, we have created this single consent form to allow sharing within Neuro Rehab Collaborative. By completing this form, you authorize us to share medical records and medical intake forms among the members of Neuro Rehab Collaborative, ensuring efficient and coordinated care.