Call us for an appointment: Rehab: 231.873.3577    |    Family Fitness: 231.873.3566

Please feel free to download the following forms, fill them out and drop them off at the front desk of Lakeside Rehab at 601 E Main Street, Hart location. Or you can fax them back to us at 231-873-3557. If you prefer emailing, please send a message to

Forms for medical professionals
Forms for patients
Forms for customers
Spanish forms
Therapy Script May 2017 Therapy Script May 2017
Financial Assistance Program Form
ABN Formulario
 Wellness Script May 2017 Wellness Script May 2017
La Historia Clinica de el Paciente
First time patient forms Advierta A Pacientes Medicare B
  Wellness Program Information Form Forma de la Emergencia de Medico Paciente
 Patient Satisfaction Survey Form La Autorizacion Para
 Financial Assistant Program Form La Inspección de Satisfacción para el Paciente
La Polica De Facilidad
Programa de Bienestar
Renuncia Personal
El Acuerdo Personal Del Participante de la Renuncia